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Organization

DIGITRACE CARE SERVICES INC

Active
Other names
Sleepmed
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH ROSE (VP OF FINANCE & ADMINISTRATION)
(978) 536-7400
Entity
Organization

Contact information

Practice address
3299 WOODBURN RD, SUITE 250-A, ANNANDALE, VA 22003-1275
(703) 876-9870
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
292359
MDIPA
VA
01
360115
ANTHEM
VA
01
419630
CARE FIRST
MD
01
520537
CARE FIRST
MD
01
659561
SOUTHERN HEALTH
VA
01
7618325
AETNA
01
85970001
CARE FIRST
VA
01
85970002
CARE FIRST
VA
01
85TZDI
CARE FIRST
MD
01
P00793802
RAILROAD MEDICARE
Enumeration date
04/24/2007
Last updated
05/17/2016
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