Active NPI
Idalia Ambulance Service, Inc.
- Intermediate Emergency Medical Technician
- Idalia, CO
National Provider Identifier
1679617781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- Legal business name
- IDALIA AMBULANCE SERVICE, INC.
- Practice address
- 9141 Rd CC.8
Idalia, CO 80735 - Phone
- (970) 354-7285
- NPI assigned
- Feb 20, 2007
- Last updated
- Sep 11, 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
- Debra J. Moellenberg, EMT-I
- Title
- Director
- Phone
- (970) 354-7285
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | NU | Primary | |
| Basic Emergency Medical Technician | 146N00000X | NU |
Addresses
Primary practice location
9141 Rd CC.8
Idalia, CO 80735
Mailing address
PO Box 55
Idalia, CO 80735-0055
Phone (970) 354-7285
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1679617781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55",
"city": "IDALIA",
"state": "CO",
"postal_code": "807350055",
"telephone_number": "970-354-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9141 RD CC.8",
"city": "IDALIA",
"state": "CO",
"postal_code": "80735",
"telephone_number": "970-354-7285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDALIA AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MOELLENBERG",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "970-354-7285",
"authorized_official_credential": "EMT-I"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idalia, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.