Organization Active NPI

Easton Emergency Squad

  • Ambulance
  • Easton, PA
National Provider Identifier
1003800111
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
04316 Issued in PA
Legal business name
EASTON EMERGENCY SQUAD
Practice address
908 Packer St
Easton, PA 18042-7360
Phone
(610) 258-2866
Fax
(610) 258-1153
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward Bruce Shull
Title
President
Phone
(610) 258-2866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 04316 PA Primary

Addresses

Primary practice location

908 Packer St
Easton, PA 18042-7360

Mailing address

908 Packer St
Easton, PA 18042-7360
Phone (610) 258-2866

Other identifiers 2

IdentifierTypeStateIssuer
0007599820002MedicaidPA
3590402MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000047 PA Part B Supplier - Ambulance Service Supplier 2567636632 Practice locations: Easton, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2135148Easton Emergency Squad908 Packer St, Easton, PA 18042Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory

Locations

908 Packer St
Easton, PA 18042
Phone (215) 258-2866

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1003800111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 PACKER ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180427360",
            "telephone_number": "610-258-2866",
            "fax_number": "610-258-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 PACKER ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180427360",
            "telephone_number": "610-258-2866",
            "fax_number": "610-258-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON EMERGENCY SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-258-2866"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007599820002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3590402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.