Organization
CITY OF EMPORIA
Active
Other names
Lyon County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON BECK MICT (SERVICE DIRECTOR)
(620) 343-4235
Entity
Organization
Contact information
Practice address
120 E 5TH AVE, EMPORIA, KS 66801-3918
(620) 343-4232
(620) 341-4395
Mailing address
PO BOX 928, EMPORIA, KS 66801-0928
(620) 343-4232
(620) 341-4395
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
1130
KS
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092330A
—
KS
01
—
5880
BLUE CROSS/BLUE SHIELD KS
KS
01
—
590077784
RAILROAD MEDICARE
KS
Enumeration date
05/23/2005
Last updated
06/30/2021
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