Organization Name: | NORCO, INC |
NPI Number: | 1619031234 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NED L PONTIOUS (PRESIDENT) |
Mailing Address: | 329 W Main St Grangeville |
State: | ID US |
Postal Code: | 835301917 |
Phone Number: | 2089830390 |
Fax Number: | 2089830658 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |