IndividualActive
John Pangburn
NPI 1215600416 · Home Health Agency · Grand Forks, ND
Provider details
- NPI number
- 1215600416
- Entity type
- Individual
- Primary specialty
- Home Health AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
1015 Park Dr
Grand Forks, ND 58201-6931
Phone: (701) 215-6279
Approximate (ZIP-level) locationGet directions
Mailing address
1015 Park Dr
Grand Forks, ND 58201-6931
Registry dates
- Enumerated
- 2021-07-26
- Last updated
- 2021-07-26
- Certified
- 2021-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.