Organization
DIGITRACE CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL IBERGER (EVP CFO)
(978) 536-6105
Entity
Organization
Contact information
Practice address
227 CENTERVILLE RD, WARWICK, RI 02886-4394
(401) 274-5716
(401) 272-2646
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
(978) 535-9757
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0274
NHP RI
RI
01
—
22164
BCBS OF RI
RI
01
—
2860005
AETNA HMO
RI
01
—
3400027
UNITED HEALTHCARE
RI
01
—
409503
BLUE CHIP
RI
01
—
607536
TUFTS
RI
01
—
6178
FALLON
RI
01
—
626067
HARVARD PILGRIM
RI
01
—
7618325
AETNA PPO
RI
01
—
9468
NHP MA
RI
01
—
SF038169
BCBS OF MA
RI
Enumeration date
05/23/2006
Last updated
10/15/2009
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