Provider Demographics
NPI:1457538100
Name:DME UNITED, INC.
Entity Type:Organization
Organization Name:DME UNITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:CHBME
Authorized Official - Phone:402-898-2675
Mailing Address - Street 1:2221 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-5239
Mailing Address - Country:US
Mailing Address - Phone:402-898-2675
Mailing Address - Fax:402-898-2679
Practice Address - Street 1:2221 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-5239
Practice Address - Country:US
Practice Address - Phone:402-898-2675
Practice Address - Fax:402-898-2679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV255258332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2981082Medicaid
MN041640500Medicaid
NE10025691000Medicaid
IA0702789Medicaid
LA1889849Medicaid
NE08518OtherNE BCBS
1457538100OtherTRICARE
NE08518OtherNE BCBS