Active NPI
Norco, Inc
- Durable Medical Equipment & Medical Supplies
- Boise, ID
National Provider Identifier
1902960396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NORCO, INC
- Practice address
- 400 W Main St
Boise, ID 83702-7243 - Phone
- (208) 344-0299
- Fax
- (208) 344-4327
- NPI assigned
- Dec 20, 2006
- Last updated
- Mar 30, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Customized Equipment (DME) | 332BC3200X | NU | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NU | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU |
Addresses
Primary practice location
400 W Main St
Boise, ID 83702-7243
Mailing address
1125 W Amity Rd
Boise, ID 83705-5412
Phone (208) 336-1643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002324701 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930088453 | ID | DME Supplier - Medical Supply Company With Respiratory Therapist | 0042337131 | Practice locations: Boise, ID |
National Provider Directory
National Provider Directory- Tax ID family
- Norco Inc
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.
-
- Durable Medical Equipment & Medical Supplies
- Blackfoot, ID
- NPI 1174890628
-
- Durable Medical Equipment & Medical Supplies
- Coeur d'Alene, ID
- NPI 1356876726
-
- Durable Medical Equipment & Medical Supplies
- Rexburg, ID
- NPI 1487921839
-
- Durable Medical Equipment & Medical Supplies
- Idaho Falls, ID
- NPI 1558425165
-
- Durable Medical Equipment & Medical Supplies
- Grangeville, ID
- NPI 1619031234
-
- Durable Medical Equipment & Medical Supplies
- Boise, ID
- NPI 1881758274
-
- Durable Medical Equipment & Medical Supplies
- Burley, ID
- NPI 1104986983
-
- Community/Retail Pharmacy
- Boise, ID
- NPI 1144910878
-
- Durable Medical Equipment & Medical Supplies
- Mt Home, ID
- NPI 1326109059
-
- Durable Medical Equipment & Medical Supplies
- Twin Falls, ID
- NPI 1487715199
-
- Durable Medical Equipment & Medical Supplies
- Chubbuck, ID
- NPI 1659432375
-
- Durable Medical Equipment & Medical Supplies
- Meridian, ID
- NPI 1821158692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648598400000",
"number": "1902960396",
"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": "400 W MAIN ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837027243",
"telephone_number": "208-344-0299",
"fax_number": "208-344-4327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORCO, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"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": "NU",
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002324701",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.