MEDICARE: KINGDOM FIRST MEDICAL TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1295622728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINGDOM FIRST MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	7833 AUGUSTA PINES DR APT 2403
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1877
Country	:	US
Telephone Number	:	281-318-9980
Fax Number	:

Provider Business Practice Location Address
First Line	:	7833 AUGUSTA PINES DR APT 2403
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1877
Country	:	US
Telephone Number	:	281-318-9980
Fax Number	:

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	MS. HALARIA ANDERSON WILSON
Credential	:
Telephone Number	:	281-318-9980

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	08/18/2025

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