Organization
DIGITRACE CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ROSE (VP OF FINANCE AND ADMINISTRATION)
(978) 536-6105
Entity
Organization
Contact information
Practice address
220 W EXCHANGE ST, STE 100B, PROVIDENCE, RI 02903-1004
(401) 831-0607
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023950
BCBS OF RI - PIN
RI
01
—
005143
BLUE CHIP RI - PIN
RI
01
—
23848
NEIGHBORHOOD HP RI - PIN
RI
01
—
2860005
AETNA HMO - PIN
RI
01
—
48-00349
UNITED HEALTHCARE - PIN
RI
01
—
7618325
AETNA PPO - PIN
RI
01
—
768313
TUFTS - PIN
RI
Enumeration date
06/22/2007
Last updated
05/20/2016
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