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LIFECARE CLINIC ROSEAU
NPI 1225885676
Clinic/Center - Rural Health in Roseau, MN

Active since May 03, 2024CLIA 24D0406722 · Waiver
715 DELMORE DR, STE 100, ROSEAU, MN 56751(218) 463-1365 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2024, Jun 13, 2024, May 3, 2024 (3 updates tracked since 2024).

About Lifecare Clinic Roseau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFECARE CLINIC ROSEAU (NPI 1225885676) is a healthcare organization registered as a rural health in Roseau, Minnesota and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Catherine A Huss, Cfo, as its authorized official.

NPPES Registry Identity

NPI1225885676
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLIFECARE MEDICAL CENTER
Location Address715 DELMORE DR, STE 100Roseau, MN 56751-1534
Mailing Address715 Delmore DrRoseau, MN 56751-1599 · (218) 463-2500 · Fax (218) 463-1266
Phone(218) 463-1365
Organization SubpartYes
Authorized OfficialCatherine A HussCfo · (218) 463-2500
Enumeration DateMay 3, 2024
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1225885676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
715 DELMORE DR, Roseau, MN 56751
Open in Google Maps ↗

Other Names 1

Doing Business AsLifecare Clinic Roseau

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0406722

Lifecare Clinic Roseau · Roseau, MN
Active · expires Oct 27, 2026
CLIA Number24D0406722
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorPenny Black
Laboratory Phone(218) 463-1365
Laboratory LocationLifecare Clinic Roseau715 Delmore Drive Suite 100, Roseau, MN 56751
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFECARE MEDICAL CENTER
Home Health
715 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-2500
SAMANTHA JO OLSON CNP
Nurse Practitioner (Family)
715 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-2500
DANA LANDMAN
Social Worker (Clinical)
715 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-2500
DESSA MARIE BERGAN
Social Worker
715 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-2500
LAURA SALTZMAN MD
Emergency Medicine
715 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-2500
MRS. REKIYATU LAWAL UGBOAJAH MD
Emergency Medicine
715 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-2500
LIFECARE MEDICAL CENTER
Public Health or Welfare
715 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-2500
JENNIFER LYNN GALBRAITH MS, LMFT
Marriage & Family Therapist
715 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-4732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifecare Medical Center's NPI number?

The NPI number for Lifecare Medical Center is 1225885676. It was assigned to this organization in the NPPES registry on May 3, 2024. The provider is doing business as Lifecare Clinic Roseau.

Where is Lifecare Medical Center located?

Lifecare Medical Center is located at 715 Delmore Dr Ste 100, Roseau, MN 56751. The listed phone number is (218) 463-1365.

What is Lifecare Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Lifecare Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0406722) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifecare Medical Center was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.