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Contact Information

AMY R SAMPLES, PA-C
900 E BROADWAY AVE
BISMARCK, ND58501
 Phone: 701-530-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMY R SAMPLES · (Female)

NPI Number 1376816587
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/17/2012
Last updated 05/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ND License # PAC0476
  • ND Medicaid 1452473
  • ND Other N725092 MEDICARE
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HOSPITAL - (Critical Access)
    220 5TH AVE W
    TURTLE LAKE, ND 58575
  • MEDCENTER ONE - (Acute Care)
    300 N 7TH ST
    BISMARCK, ND 58506
  • ST ALEXIUS MEDICAL CENTER - (Acute Care)
    900 E BROADWAY
    BISMARCK, ND 58501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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