# CROFT RESCUE SQUAD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477570273
- **Authorized official:** JIMMY R CORBIN JR. EMT (CAPTAIN)
- **Authorized official phone:** (864) 585-2909

## Contact information

- **Practice address:** 985 PATCH DR., SPARTANBURG, SC 29304
- **Practice address phone:** (864) 591-1818
- **Mailing address:** PO BOX 1308, 203 B EDDIE CHASTEEN BLVD, WALTERBORO, SC 29488-0032
- **Mailing address phone:** (843) 549-3444
- **Mailing address fax:** (843) 549-3474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 111 | SC | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | AB0037 | — | SC |