Organization
NORCO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GOTTS (CREDENTIALING SPECIALIST)
(208) 509-3088
Entity
Organization
Contact information
Practice address
12610 E MIRABEAU PKWY STE 500, SPOKANE VALLEY, WA 99216-1450
(509) 455-9385
Mailing address
1125 W AMITY RD, BOISE, ID 83705-5412
(208) 336-1643
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
08/31/2023
Last updated
09/18/2024
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