Provider Demographics
NPI:1114754199
Name:LYON COUNTY
Entity type:Organization
Organization Name:LYON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BRUNNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-341-3468
Mailing Address - Street 1:430 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-4013
Mailing Address - Country:US
Mailing Address - Phone:620-343-4207
Mailing Address - Fax:620-341-3468
Practice Address - Street 1:402 COMMERCIAL ST # 108
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-4082
Practice Address - Country:US
Practice Address - Phone:620-343-4207
Practice Address - Fax:620-341-3481
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LYON COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus