Provider Demographics
NPI:1194408922
Name:GAMPER HOLDINGS, LLC
Entity type:Organization
Organization Name:GAMPER HOLDINGS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:334-707-7174
Mailing Address - Street 1:7667 AL HIGHWAY 51 STE B
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36804-2200
Mailing Address - Country:US
Mailing Address - Phone:334-707-7174
Mailing Address - Fax:
Practice Address - Street 1:7667 AL HIGHWAY 51 STE B
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36804-2200
Practice Address - Country:US
Practice Address - Phone:334-707-7174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care