Provider Demographics
NPI:1952337784
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 AND ADMINISTRATION
Authorized Official - Prefix:MR
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 PLACE
Mailing Address - Street 2:5B
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960
Mailing Address - Country:US
Mailing Address - Phone:978-536-7400
Mailing Address - Fax:978-535-9778
Practice Address - Street 1:270 COMMUNICATION WAY
Practice Address - Street 2:4B
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1883
Practice Address - Country:US
Practice Address - Phone:617-472-9821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0274OtherNEIGHBORHOOD HEALTH RI
MA3400027OtherUNITED HEALTHCARE
MA607536OtherTUFTS
MA6178OtherFALLON
MA2860005OtherAETNA HMO
MA626067OtherHARVARD PILGRIM
MA7618325OtherAETNA PPO
MA22164OtherBCBS RI
MASF038169OtherBCBS OF MA
MA409503OtherBLUE CHIP
MA9468OtherNEIGHBORHOOD HEALTH MA
MASF038169OtherBCBS OF MA