Provider Demographics
NPI:1497887236
Name:DIGITRACE CARE SERVICES, INC
Entity Type:Organization
Organization Name:DIGITRACE CARE SERVICES, INC
Other - Org Name:SLEEPMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP-CFO
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:R
Authorized Official - Last Name:IBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-536-7400
Mailing Address - Street 1:200 CORPORATE PL
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3840
Mailing Address - Country:US
Mailing Address - Phone:978-536-7400
Mailing Address - Fax:
Practice Address - Street 1:332 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:978-536-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA22164OtherBCBS OF RI
MA7618325OtherAETNA PPO
MA3400027OtherUNITED HEALTHCARE
MASF038169OtherBCBS OF MA
MA0274OtherNEIGHBORHOOD HEALTH RI
MA2860005OtherAETNA HMO
MA626067OtherHARVARD PILGRIM
MA409503OtherBLUE CHIP
MA6178OtherFALLON
MA607536OtherTUFTS
MA9468OtherNEIGHBORHOOD HEALTH MA
MA6178OtherFALLON
MA626067OtherHARVARD PILGRIM