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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
807 NW WAREHOUSE WAY, D1, PRINEVILLE, OR 97754-9350
(541) 447-0427
(541) 447-0419
Mailing address
1125 W AMITY RD, BOISE, ID 83705-5412
(208) 363-1643
(208) 343-4615

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
NPC-0001968
OR
332BC3200X
Customized Equipment (DME)
NPC-0001968
OR
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
NPC-0001968
OR
332BX2000X
Oxygen Equipment & Supplies (DME)
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
12/19/2016
Last updated
03/30/2022
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