Active NPI
Delta County Ambulance District
- Land Ambulance
- Delta, CO
National Provider Identifier
1174500466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- DELTA COUNTY AMBULANCE DISTRICT
- Practice address
- 60 Heinz St
Delta, CO 81416-3425 - Phone
- (970) 874-7001
- Fax
- (970) 249-8421
- NPI assigned
- Dec 28, 2005
- Last updated
- Jun 12, 2025
- 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
- Kirby Clock
- Title
- EMS Chief
- Phone
- (970) 874-7001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
60 Heinz St
Delta, CO 81416-3425
Mailing address
60 Heinz St
Delta, CO 81416-3425
Phone (970) 874-7001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63383331 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070112000037 | CO | Part B Supplier - Ambulance Service Supplier | 7113927302 | Practice locations: Delta, CO |
National Provider Directory
National Provider Directory- Tax ID family
- Delta County Ambulance District
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Delta, CO
- NPI 1053749713
-
- Land Ambulance
- Delta, CO
- NPI 1497508287
Locations
60 Heinz St
Delta, CO 81416
Phone (970) 874-2295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749686400000",
"number": "1174500466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HEINZ ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814163425",
"telephone_number": "970-874-7001",
"fax_number": "970-788-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HEINZ ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814163425",
"telephone_number": "970-874-7001",
"fax_number": "970-249-8421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA COUNTY AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-28",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A",
"authorized_official_last_name": "CLOCK",
"authorized_official_first_name": "KIRBY",
"authorized_official_title_or_position": "EMS CHIEF",
"authorized_official_telephone_number": "970-874-7001"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "63383331",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delta, CO
- Kevin Zundel Dawson, DDS
- Janet C Dean, MD
- Deborah L Chadwick, MD, PC
- Debraj Smith M.D.P.C.
- Delta County Ambulance District
- Delta County Ambulance District
- Delta County Health Dept
- Delta County Health Dept
- Delta County Memorial Hospital (Delta Health Pain Center)
- Delta County Memorial Hospital (Delta Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.