Organization Active NPI

Idalia Ambulance Service, Inc.

  • Intermediate Emergency Medical Technician
  • Idalia, CO
National Provider Identifier
1679617781
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.