IDALIA AMBULANCE SERVICE, INC. (NPI# 1649789975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649789975 |
| Entity Type | Organization |
| Organization Name | IDALIA AMBULANCE SERVICE, INC. |
| Practice Address |
9141 County Road Cc.8 P.o. Box 55 Idalia CO 80735 |
| Mailing Address |
Po Box 55 Idalia CO 80735-0055 |
| Practice Telephone | 9703547285 |
| Practice Fax Number | 9703547285 |
| Mailing Telephone | 9703547285 |
| Mailing Fax Number | 9703547285 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | DEBRA J MOELLENBERG (DIRECTOR/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9703547285 |
| Authorized Official Credential | EMT-INTERMEDIATE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679617781 | Idalia Ambulance Service, Inc. | Emergency Medical Technician, Intermediate | 9141 Rd Cc.8, Idalia, CO 80735 | 2007-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | IDALIA AMBULANCE SERVICE, INC. | 9141 County Road Cc.8, Idalia, CO 80735 |
| Street Address |
9141 COUNTY ROAD CC.8 P.O. BOX 55 |
| City | IDALIA |
| State | CO |
| Zip Code | 80735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679617781 | Idalia Ambulance Service, Inc. | Emergency Medical Technician, Intermediate | 9141 Rd Cc.8, Idalia, CO 80735 | 2007-02-20 |
| 1235445453 | Doreen M Pecar | Nurse Anesthetist, Certified Registered | 30598 County Road 20, Idalia, CO 80735-9784 | 2010-08-25 |
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.