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STATEWIDE MEDICAL SUPPLY, INC
NPI 1225210735
Durable Medical Equipment & Medical Supplies in North Little Rock, AR

Active since November 27, 2007
6100 GETTY DR, STE U, NORTH LITTLE ROCK, AR 72117(501) 834-1887(501) 834-1866 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Statewide Medical Supply, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATEWIDE MEDICAL SUPPLY, INC (NPI 1225210735) is a healthcare organization registered as a durable medical equipment & medical supplies in North Little Rock, Arkansas and active in the NPI registry since November 2007. The organization lists Larry Mark Hickman, Owner, as its authorized official.

NPPES Registry Identity

NPI1225210735
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSTATEWIDE MEDICAL SUPPLY, INC
Location Address6100 GETTY DR, STE UNorth Little Rock, AR 72117-1635
Mailing AddressPo Box 7246Sherwood, AR 72124 · (501) 834-1887
Phone(501) 834-1887
Fax(501) 834-1866
Organization SubpartNo
Authorized OfficialLarry Mark HickmanOwner · (501) 834-1887
Enumeration DateNovember 27, 2007
Last NPPES UpdateJune 9, 2008
✔ NPI 1225210735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in AR · 10724
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
6100 GETTY DR, North Little Rock, AR 72117
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Other Identifiers 2

Medicaid167086716AR
Medicare NSC6041080001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Statewide Medical Supply, Inc's NPI number?

The NPI number for Statewide Medical Supply, Inc is 1225210735. It was assigned to this organization in the NPPES registry on November 27, 2007.

Where is Statewide Medical Supply, Inc located?

Statewide Medical Supply, Inc is located at 6100 Getty Dr Ste U, North Little Rock, AR 72117. The listed phone number is (501) 834-1887.

What is Statewide Medical Supply, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Statewide Medical Supply, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Statewide Medical Supply, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Statewide Medical Supply, Inc was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.