Provider Demographics
NPI:1891914396
Name:DIGITRACE CARE SERVICES INC
Entity Type:Organization
Organization Name:DIGITRACE CARE SERVICES INC
Other - Org Name:SLEEPMED INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVO-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 1:3413 OLANDWOOD CT
Practice Address - Street 2:# 103
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1489
Practice Address - Country:US
Practice Address - Phone:301-251-5905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD292359OtherMAMSI
MD419630OtherCARE FIRST
MD659561OtherSOUTHERN HEALTH
VA85970002OtherCARE FIRST
MD071500004Medicaid
MD292359OtherOPTIMUM CHOICE
MD292359OtherONENET PPO
MD520537OtherCARE FIRST
MD292359OtherMDIPA
VA85970001OtherCARE FIRST
MD85TZDIOtherCARE FIRST
MD292359OtherOPTIMUM CHOICE
MD659561OtherSOUTHERN HEALTH