Organization
CROFT RESCUE SQUAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY R CORBIN JR. EMT (CAPTAIN)
(864) 585-2909
Entity
Organization
Contact information
Practice address
985 PATCH DR., SPARTANBURG, SC 29304
(864) 591-1818
Mailing address
PO BOX 1308, 203 B EDDIE CHASTEEN BLVD, WALTERBORO, SC 29488-0032
(843) 549-3444
(843) 549-3474
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
111
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0037
—
SC
Enumeration date
07/16/2006
Last updated
08/22/2020
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