# CITY OF LAFAYETTE EMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528169216
- **Authorized official:** KEN PHILLIPS (CHIEF)
- **Authorized official phone:** 2

## Contact information

- **Practice address:** 56 2ND AVE SW, LAFAYETTE, AL 36862-1945
- **Practice address phone:** 2
- **Mailing address:** PO BOX 87, LAFAYETTE, AL 36862-0087
- **Mailing address phone:** 2

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 289 | AL | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 51054142 | BLUECROSS | AL |