Healthcare Provider Details

I. General information

NPI: 1356287494
Provider Name (Legal Business Name): MISSION FIRST MEDICAL TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5941 MICHIGAN AVE APT C
SPRINGDALE AR
72762-3234
US

IV. Provider business mailing address

5941 MICHIGAN AVE APT C
SPRINGDALE AR
72762-3234
US

V. Phone/Fax

Practice location:
  • Phone: 479-320-1718
  • Fax:
Mailing address:
  • Phone: 479-320-1718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: DIANA KASTNING
Title or Position: OWNER
Credential:
Phone: 479-320-1718