Organization
NORCO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SEWARD (EXE VICE PRESIDENT MEDICAL)
(208) 336-1643
Entity
Organization
Contact information
Practice address
2555 HWY #2 E, KALISPELL, MT 59901
(406) 752-4804
(406) 756-8740
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)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0569920
—
MT
Enumeration date
12/13/2006
Last updated
03/29/2022
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