Idalia Ambulance Service, Inc.

NPI #1649789975 in Idalia, Colorado

Provider Information

NPI Number: 1649789975
Entity Type: Organization
Organization Name: Idalia Ambulance Service, Inc.
Primary Specialty: Ambulance
Enumeration Date: Sep 29, 2017
Last Updated: Sep 29, 2017

Practice Location

Address: 9141 COUNTY ROAD CC.8
Address 2: P.O. BOX 55
City: Idalia
State: Colorado
ZIP Code: 80735
Phone: (970) 354-7285

Authorized Official

Name: DEBRA J MOELLENBERG, EMT-INTERMEDIATE
Title: DIRECTOR/AUTHORIZED OFFICIAL
Phone: (970) 354-7285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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