Organization
DIGITRACE CARE SERVICES INC
Active
Other names
SleepMed
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA NAUFUL (VP COMPLIANCE & CONTRACTING)
(770) 309-2000
Entity
Organization
Contact information
Practice address
1003 W 7TH ST, SUITE 506, FREDERICK, MD 21701
(301) 668-0700
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117758
SOUTHERN HEALTH
MD
01
—
2168698
MDIPA
MD
01
—
8201299
AMERICHOICE
MD
01
—
P00784602
RAILROAD MEDICARE
—
Enumeration date
01/06/2009
Last updated
08/22/2018
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