Organization
NORCO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SEWARD (EVP MEDICAL)
(208) 336-1643
Entity
Organization
Contact information
Practice address
360 ROCK ISLAND RD, EAST WENATCHEE, WA 98802
(509) 664-0529
(509) 667-8741
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
—
9050261
—
WA
05
—
9050279
—
WA
Enumeration date
12/20/2006
Last updated
03/30/2022
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