LIFECARE MEDICAL CENTER NPI 1609861095

NPI Information

  • NPI: 1609861095
  • Provider Name: LIFECARE MEDICAL CENTER
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • CLIA Number: 24D0041428
  • Address: 715 DELMORE DR
    ROSEAU, MN
    ZIP 56751
  • Phone: (218) 463-2500

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NPI Details

LIFECARE MEDICAL CENTER is a critical access general acute care hospital in Roseau, MN. LIFECARE MEDICAL CENTER NPI is 1609861095. The provider is registered as an organization entity type.

The provider's business location address is:

715 DELMORE DR
ROSEAU, MN
ZIP 56751-534
Phone: (218) 463-2500
Fax: (218) 463-4782

The provider's authorized official is Catherine A. Huss .
The authorized official title is Cfo and has the following contact phone number (218) 463-4763.

The CLIA number assigned to this NPI record is 24D0041428 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/13/2005 and was last updated on 6/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282NC0060XGeneral Acute Care HospitalCritical AccessMINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1241344MEDICARE OSCAR/CERTIFICATIONMINNESOTA
2342547900MEDICAIDMINNESOTA
3245470AMEDICARE OSCAR/CERTIFICATIONMINNESOTA
424Z344MEDICARE OSCAR/CERTIFICATIONMINNESOTA
5842724100MEDICAIDMINNESOTA
6850026600MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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