Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Ann Park

Individual provider Case Manager/Care Coordinator · NPI 1134989866

Samantha Ann Park is a Case Manager/Care Coordinator in Bismarck, North Dakota. Licensed in North Dakota. Registered with an NPI since 2024.

Licensed in
ND
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1906 E Broadway Ave Ste 1
Bismarck, ND 58501-4740
Phone: (701) 415-6233
Fax: (833) 525-1920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (ND)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence DUM00000 (ND)

Record details

NPI number1134989866
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2024
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

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