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LIFECARE CLINIC WARROAD
NPI 1619724077
Clinic/Center - Rural Health in Warroad, MN

Active since May 03, 2024CLIA Certified · 2 labs
412 MAIN AVE NE, WARROAD, MN 56763(218) 386-2020 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, May 3, 2024 (2 updates tracked since 2024).

About Lifecare Clinic Warroad NPPES

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

LIFECARE CLINIC WARROAD (NPI 1619724077) is a healthcare organization registered as a rural health in Warroad, Minnesota and active in the NPI registry since May 2024. The organization holds 2 active CLIA laboratory certificates and lists Catherine A Huss, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619724077
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLIFECARE MEDICAL CENTER
Location Address412 MAIN AVE NEWarroad, MN 56763-2342
Mailing Address715 Delmore DrRoseau, MN 56751-1599 · (218) 463-2500
Phone(218) 386-2020
Organization SubpartYes
Authorized OfficialCatherine A HussCfo · (218) 463-2500
Enumeration DateMay 3, 2024
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1619724077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
412 MAIN AVE NE, Warroad, MN 56763
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Other Names 1

Doing Business AsLifecare Clinic Warroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 24D2342525

Lifecare Clinic Warroad · Warroad, MN
Active · expires Apr 20, 2028
CLIA Number24D2342525
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorPenny Black
Laboratory Phone(218) 386-2020
Laboratory LocationLifecare Clinic Warroad412 Main Ave NE, Warroad, MN 56763
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 24D0406738

Lifecare Medical Center - Warroad Lab · Warroad, MN
Active · expires Jan 19, 2028
CLIA Number24D0406738
Laboratory TypeHospital
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorAshlhttps://Web.Qiey Hellerup
Laboratory Phone(218) 386-2020
Laboratory LocationLifecare Medical Center - Warroad Lab412 North Main Street, Warroad, MN 56763
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 4

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

DEBORAH J ERICKSON MD
Family Medicine
412 MAIN AVE NE
WARROAD, MN 56763
Roseau County (218) 386-2020
ALTRU HEALTH SYSTEM
Non-Pharmacy Dispensing Site
412 MAIN AVE NE
WARROAD, MN 56763
Roseau County (952) 653-2525
ALTRU HEALTH SYSTEM
Clinic/Center (Rural Health)
412 MAIN AVE NE
WARROAD, MN 56763
Roseau County (218) 386-2020
JENNIFER LINDSAY JOHNSON FNP-BC
Nurse Practitioner (Family)
412 MAIN AVE NE
WARROAD, MN 56763
Roseau County (218) 386-2020

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 1619724077. It was assigned to this organization in the NPPES registry on May 3, 2024. The provider is doing business as Lifecare Clinic Warroad.

Where is Lifecare Medical Center located?

Lifecare Medical Center is located at 412 Main Ave NE, Warroad, MN 56763. The listed phone number is (218) 386-2020.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lifecare Medical Center accept?

Health plans from Medica list Lifecare Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.