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Organization
NORCO, INC.
Active
Organization
NORCO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SEWARD (EXECUTIVE VICE PRESIDENT MEDICAL)
(208) 336-1643
Entity
Organization
Contact information
Practice address
150 SHANNON DR, NAMPA, ID 83687-8207
(208) 467-3070
(208) 467-3317
Mailing address
1125 W AMITY RD, BOISE, ID 83705-5412
(208) 336-1643
(208) 343-4615
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
DME130
ID
332BC3200X
Customized Equipment (DME)
DME130
ID
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
DME130
ID
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
DME130
ID
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002324706
—
ID
Enumeration date
12/11/2006
Last updated
03/28/2022
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