Croft Rescue Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

111 Issued in SC

Legal business name

CROFT RESCUE SQUAD, INC

Practice address

985 Patch Dr.
Spartanburg, SC 29304

Phone

(864) 591-1818

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Jimmy R Corbin Jr., EMT

Title

Captain

Phone

(864) 585-2909

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477570273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "address_2": "203 B EDDIE CHASTEEN BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880032",
            "telephone_number": "843-549-3444",
            "fax_number": "843-549-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PATCH DR.",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29304",
            "telephone_number": "864-591-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROFT RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "864-585-2909",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0037",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Edward Crite Jr.
• Alexis Crocker, OTD, OTR/L
• Brooke Ellison Crocker, PA
• Christopher Thomas Crocker, PA-C
• Nicole Lynne Crockford, PA-C
• Claudia M. Croitoru, M.D.
• Ashley Taylor Cromer, RN
• Kevin L Cromer, NP
• Casey Jack Cronan, DO
• Azja Crosby

• Land Ambulance in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.