Healthcare Provider Details
I. General information
NPI: 1619821485
Provider Name (Legal Business Name): ROGERS TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1714 11TH ST
MOLINE IL
61265
US
IV. Provider business mailing address
1714 11TH ST
MOLINE IL
61265
US
V. Phone/Fax
- Phone: 309-207-1316
- Fax:
- Phone: 309-207-1316
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIFFANY
JEAN
ROGERS
Title or Position: NEMT
Credential:
Phone: 309-207-1316