Provider Demographics
NPI:1467106732
Name:GERE SHOPPERS
Entity Type:Organization
Organization Name:GERE SHOPPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:KATAMRIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BILLUPS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:318-537-0654
Mailing Address - Street 1:203 STEVENSON DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2108
Mailing Address - Country:US
Mailing Address - Phone:318-537-0654
Mailing Address - Fax:
Practice Address - Street 1:203 STEVENSON DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2108
Practice Address - Country:US
Practice Address - Phone:318-537-0654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)