Organization Active NPI

Norco, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Burley, ID
National Provider Identifier
1104986983
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DME109 Issued in ID
Legal business name
NORCO, INC.
Practice address
2560 Overland Ave Ste a
Burley, ID 83318-2941
Phone
(208) 678-8558
Fax
(208) 678-9344
NPI assigned
Dec 11, 2006
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brent Seward
Title
Exe Vice President Medical
Phone
(208) 336-1643

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DME109 ID Primary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

2560 Overland Ave Ste a
Burley, ID 83318-2941

Mailing address

1125 W Amity Rd
Boise, ID 83705-5412
Phone (208) 336-1643

Other identifiers 1

IdentifierTypeStateIssuer
002324702MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930025328 ID DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 0042337131 Practice locations: Burley, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Norco2560 Overland Ave, Burley, ID 83318-2941(208) 678-8558 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Canes and/or Crutches|Patient Lifts|Power Opera… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Norcoinc60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

198 N Overland Ave
Burley, ID 83318

2560 Overland Ave
Ste A
Burley, ID 83318
Phone (208) 678-8558

204 W Ironwood Dr
Ste 100
Coeur D Alene, ID 83814

1303 S Silverstone Way
Meridian, ID 83642
Phone (208) 898-0202

1405 American Legion Blvd
Mt Home, ID 83647
Phone (208) 587-1177

150 Shannon Dr
Nampa, ID 83687
Phone (208) 467-3070

146 N 2nd E
Rexburg, ID 83440
Phone (208) 356-7913

1911A Meadowlark Ln
Butte, MT 59701

1515 Campbell St
Baker City, OR 97814
Phone (541) 523-2002

51456 Highway 97
Ste 1B
La Pine, OR 97739

3039 S Highway 97
Redmond, OR 97756
Phone (541) 548-1044

302 Shelley St
Springfield, OR 97477

200 E 2nd Ave
Ste B
Spokane, WA 99202
Phone (509) 455-9385

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1104986983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W AMITY RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055412",
            "telephone_number": "208-336-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 OVERLAND AVE STE A",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182941",
            "telephone_number": "208-678-8558",
            "fax_number": "208-678-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "SEWARD",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "EXE VICE PRESIDENT MEDICAL",
        "authorized_official_telephone_number": "208-336-1643",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "DME109",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002324702",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.