| Lifecare Medical Center | |
|
412 Main Ave Ne Warroad MN 56763-2342 | |
| (218) 386-2020 | |
| Not Available |
| Full Name | Lifecare Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 412 Main Ave Ne, Warroad, Minnesota |
| Authorized Official Name and Position | Catherine A Huss (CFO) |
| Authorized Official Contact | 2184632500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Medical Center 715 Delmore Dr Roseau MN 56751-1599 Ph: (218) 463-2500 | Lifecare Medical Center 412 Main Ave Ne Warroad MN 56763-2342 Ph: (218) 386-2020 |
| NPI Number | 1619724077 |
|---|---|
| Provider Enumeration Date | 05/03/2024 |
| Last Update Date | 06/18/2024 |
| Medicare PECOS PAC ID | 4789586884 |
|---|---|
| Medicare Enrollment ID | O20240803000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619724077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Altru Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Main Ave Ne, Warroad, MN 56763 Phone: 218-386-2020 |