A method and apparatus providing an emergency communication service in a wireless communication system. A mobile station (MS) transmits a message requesting the emergency communication service to a base station (BS), receives a connection setup request message from the BS, the connection setup request message including a Service Flow Identifier (SFID) indicating that a service flow corresponding to the emergency communication service has been generated, a Flow Identifier (FID) between the BS and the MS for providing the emergency communication service, and an indicator indicating a connection request for the emergency communication service, performs a setup procedure for using the service flow based on the SFID, the FID, and the indicator and, upon completion of the setup procedure, transmits a data packet for the emergency communication service to the BS.