NPI Code Detail JSON Logo

1124980479 NPI number — NORCO INC.

NPI Number: 1124980479
Health Care Provider/Practitioner: NORCO INC.

Information about “1124980479” NPI (NORCO INC.) exists in 1124980479 in HTML format HTML  |  1124980479 in plain Text format TXT  |  1124980479 in PDF (Portable Document Format) PDF  |  1124980479 in an XML format XML  formats.

NPI Number : 1124980479 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124980479",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NORCO INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1125 W AMITY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOISE",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83705-5412",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-336-1643",
    "MailingAddressFaxNumber": "208-385-7320",
    "FirstLinePracticeLocationAddress": "1108 N MILDRED RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CORTEZ",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81321-2418",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-565-4200",
    "PracticeLocationAddressFaxNumber": "970-565-2286",
    "EnumerationDate": "11/25/2025",
    "LastUpdateDate": "11/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOTTS",
    "AuthorizedOfficialFirstName": "AMANDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CREDENTIALING SPECIALIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "208-336-1643",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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