MEDICARE: DIGITRACE CARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0274	OTHER	MA	NEIGHBORHOOD HEALTH RI
2	3400027	OTHER	MA	UNITED HEALTHCARE
3	607536	OTHER	MA	TUFTS
4	6178	OTHER	MA	FALLON
5	2860005	OTHER	MA	AETNA HMO
6	626067	OTHER	MA	HARVARD PILGRIM
7	7618325	OTHER	MA	AETNA PPO
8	22164	OTHER	MA	BCBS RI
9	SF038169	OTHER	MA	BCBS OF MA
10	409503	OTHER	MA	BLUE CHIP
11	9468	OTHER	MA	NEIGHBORHOOD HEALTH MA

General Provider Information

NPI Number	:	1952337784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGITRACE CARE SERVICES INC

Provider Business Mailing Address
First Line	:	200 CORPORATE PLACE
Second Line	:	5B
City	:	PEABODY
State	:	MA
Zip	:	01960
Country	:	US
Telephone Number	:	978-536-7400
Fax Number	:	978-535-9778

Provider Business Practice Location Address
First Line	:	270 COMMUNICATION WAY
Second Line	:	4B
City	:	HYANNIS
State	:	MA
Zip	:	02601-1883
Country	:	US
Telephone Number	:	617-472-9821
Fax Number	:

Authorized Official
Title or Position	:	VP OF FINANCE AND ADMINISTRATION
Name	:	MR. JOSEPH ROSE
Credential	:
Telephone Number	:	978-536-7400

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	05/20/2016

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Directions to “DIGITRACE CARE SERVICES INC ” Practice Location

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