Organization
IDALIA AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA J MOELLENBERG EMT-INTERMEDIATE (DIRECTOR/AUTHORIZED OFFICIAL)
(970) 354-7285
Entity
Organization
Contact information
Practice address
9141 COUNTY ROAD CC.8, P.O. BOX 55, IDALIA, CO 80735
(970) 354-7285
(970) 354-7285
Mailing address
PO BOX 55, IDALIA, CO 80735-0055
(970) 354-7285
(970) 354-7285
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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