Sampson Construction

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

SAMPSON CONSTRUCTION

Practice address

24668 Hamlet Ave
Forest Lake, MN 55025-8781

Phone

(612) 290-9056

Fax

(651) 464-5671

NPI assigned

Mar 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Randall Jay SampsonNPI 1295366029

Title

Owner

Phone

(612) 290-9056

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Jay Sampson

  • Contractor
  • Forest Lake, MN
  • NPI 1295366029
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1841827870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24668 HAMLET AVE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258781",
            "telephone_number": "612-290-9056",
            "fax_number": "651-464-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24668 HAMLET AVE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258781",
            "telephone_number": "612-290-9056",
            "fax_number": "651-464-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON CONSTRUCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-290-9056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Rulli
• Nicole Rae Ruotsinoja, PTA
• Catharine B Ruther, DDS
• S & S Spa Salon Inc
• Brett J Salek, M.D.
• Randall Jay Sampson
• Jon James Sargeant, BCBA
• Cassandra Saunders, PHARMD
• Savi Services, Inc
• Ervin George Savord, D.D.S.

• Home Modifications Contractor in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Home Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.