Provider Demographics
NPI:1720099179
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:VP OF FINANCE & ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
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:978-535-9757
Practice Address - Street 1:10 DORRANCE ST
Practice Address - Street 2:SUITE 735 7TH FLOOR
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-2018
Practice Address - Country:US
Practice Address - Phone:401-519-3787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI6178OtherFALLON
RI3400027OtherUNITED HEALTHCARE
RI409503OtherBLUE CHIP
RI607536OtherTUFTS
RISF038169OtherBCBS OF MA
RI0000022164OtherBC/BS OF RI
9513801OtherAETNA
RI626067OtherHARVARD PILGRIM
RI0274OtherNEIGHBORHOOD HP RI
RI2860005OtherAETNA HMO
RI7618325OtherAETNA PPO
RI9468OtherNEIGHBORHOOD HP MA
RI3400027OtherUNITED HEALTHCARE