Healthcare Provider Details

I. General information

NPI: 1891613709
Provider Name (Legal Business Name): CARDINAL CARE TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21930 MOUNTAIN MAPLE CIR
HENSLEY AR
72065-9022
US

IV. Provider business mailing address

21930 MOUNTAIN MAPLE CIR
HENSLEY AR
72065-9022
US

V. Phone/Fax

Practice location:
  • Phone: 501-486-5585
  • Fax:
Mailing address:
  • Phone: 501-486-5585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: TAMARA FOWLER
Title or Position: OWNER
Credential:
Phone: 501-486-5585