Active NPI
Easton Emergency Squad
- Ambulance
- Easton, PA
National Provider Identifier
1003800111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 04316
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007599820002 | Medicaid | PA | |
| 3590402 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111130000047 | PA | Part B Supplier - Ambulance Service Supplier | 2567636632 | Practice locations: Easton, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2135148 | Easton Emergency Squad | Certificate of waiver | Aug 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Easton Cardiovascular Associates, PC
- Easton Chemists Inc (Easton's NeighboRx Pharmacy)
- Easton Chiropractic & Wellness, P.C. (Conroy Chiropractic & Wellness, P.C.)
- Easton Chiropractic and Rehab PLLC
- Easton Chiropractic Center PC
- Easton Endodontics, LLC.
- Easton Family Chiropractic LLC
- Easton Family Dental
- Easton Family Practice P.C
- Easton Hospital
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.