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
5951 AIRPORT RD BLDG 1, PULLMAN, WA 99163-8958
(208) 882-3571
(208) 882-8512
Mailing address
1125 W AMITY RD, BOISE, ID 83705-5412
(208) 336-1643
(208) 385-7320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/10/2023
Last updated
01/23/2025
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