# CITY OF EMPORIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lyon County Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063415172
- **Authorized official:** MR. BRANDON BECK MICT (SERVICE DIRECTOR)
- **Authorized official phone:** (620) 343-4235

## Contact information

- **Practice address:** 120 E 5TH AVE, EMPORIA, KS 66801-3918
- **Practice address phone:** (620) 343-4232
- **Practice address fax:** (620) 341-4395
- **Mailing address:** PO BOX 928, EMPORIA, KS 66801-0928
- **Mailing address phone:** (620) 343-4232
- **Mailing address fax:** (620) 341-4395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146L00000X | Paramedic | 1130 | KS | — |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 06/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100092330A | — | KS |
| 01 | — | 5880 | BLUE CROSS/BLUE SHIELD KS | KS |
| 01 | — | 590077784 | RAILROAD MEDICARE | KS |