MEDICARE: CITY OF EMPORIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146L00000X	Paramedic	1130	KS
2	341600000X	Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590077784	OTHER	KS	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5880	OTHER	KS	BLUE CROSS/BLUE SHIELD KS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063415172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF EMPORIA

Provider Business Mailing Address
First Line	:	PO BOX 928
Second Line	:
City	:	EMPORIA
State	:	KS
Zip	:	66801-0928
Country	:	US
Telephone Number	:	620-343-4232
Fax Number	:	620-341-4395

Provider Business Practice Location Address
First Line	:	120 E 5TH AVE
Second Line	:
City	:	EMPORIA
State	:	KS
Zip	:	66801-3918
Country	:	US
Telephone Number	:	620-343-4232
Fax Number	:	620-341-4395

Authorized Official
Title or Position	:	SERVICE DIRECTOR
Name	:	MR. BRANDON BECK
Credential	:	MICT
Telephone Number	:	620-343-4235

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	06/30/2021

Similar Medicare Providers

1396796181 — DR. TODD M DETWILER MD
Practice Location Address:

1301 W 12TH AVE
EMPORIA, KS
66801-2587

Practice Phone: 620-343-2900
Practice Fax: 620-343-9484

1003761909 — DANIELLE CATES
Practice Location Address:

1519 MERCHANT ST
EMPORIA, KS
66801-5005

Practice Phone: 620-343-2211
Practice Fax: 620-342-1021

1699778092 — DR. JAMES N GLENN M.D.
Practice Location Address:

1301 W 12TH AVE , STE 105
EMPORIA, KS
66801-2588

Practice Phone: 620-343-1191
Practice Fax: 620-343-3139

1093717381 — DR. AARON T WATTERS MD
Practice Location Address:

708 COMMERCIAL ST
EMPORIA, KS
66801

Practice Phone: 620-263-3777
Practice Fax: 620-263-3774

1760486526 — MICHAEL GEORGE REYNOLDS M.D.
Practice Location Address:

1602 W 15TH AVE , STE B
EMPORIA, KS
66801-5672

Practice Phone: 620-342-6989
Practice Fax: 620-342-2262

1477557247 — WAYNE LEROY ANLIKER M.D.
Practice Location Address:

1602 W 15TH AVE , STE B
EMPORIA, KS
66801-5672

Practice Phone: 620-342-6989
Practice Fax: 620-342-2262

Directions to “CITY OF EMPORIA ” Practice Location

Language	Start Address	Practice Location

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