Organization Active NPI

Norco, Inc

  • Durable Medical Equipment & Medical Supplies
  • Caldwell, ID
National Provider Identifier
1932263597
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DME252 Issued in ID
Legal business name
NORCO, INC
Practice address
1906 Fairview Ave Ste 120
Caldwell, ID 83605-5425
Phone
(208) 402-0100
Fax
(208) 402-0103
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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 DME252 ID Primary
Customized Equipment (DME) 332BC3200X DME252 ID
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X DME252 ID
Oxygen Equipment & Supplies (DME) 332BX2000X DME252 ID
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1906 Fairview Ave Ste 120
Caldwell, ID 83605-5425

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1821158692-014MedicaidID

National Provider Directory

National Provider Directory

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": "1932263597",
    "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": "1906 FAIRVIEW AVE STE 120",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055425",
            "telephone_number": "208-402-0100",
            "fax_number": "208-402-0103"
        }
    ],
    "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": "ID",
            "license": "DME252",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "ID",
            "license": "DME252",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "ID",
            "license": "DME252",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ID",
            "license": "DME252",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821158692-014",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.