Active NPI
Digitrace Care Services Inc
- Sleep Disorder Diagnostic Clinic/Center
- Augusta, ME
National Provider Identifier
1306855291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- DIGITRACE CARE SERVICES INC
- Practice address
- 1 Higgins St
Augusta, ME 04330-6312 - Phone
- (207) 623-1735
- Fax
- (207) 623-1845
- NPI assigned
- Aug 7, 2006
- Last updated
- Jan 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carl R. Iberger
- Title
- Evp-Cfo
- Phone
- (978) 536-7400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | NU | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU |
Addresses
Primary practice location
1 Higgins St
Augusta, ME 04330-6312
Mailing address
200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 626067 | Other | ME | HARVARD PILGRIM |
| 84Z100703ME01 | Other | ME | ANTHEM NON-PAR |
| 7618325 | Other | AETNA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Medi Home Care
- Durable Medical Equipment & Medical Supplies
- Chesapeake, VA
- NPI 1629051719
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1306855291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"address_2": "SUITE 5B",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-536-7400",
"fax_number": "978-535-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HIGGINS ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306312",
"telephone_number": "207-623-1735",
"fax_number": "207-623-1845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITRACE CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2010-01-20",
"status": "A",
"authorized_official_last_name": "IBERGER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "EVP-CFO",
"authorized_official_telephone_number": "978-536-7400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "626067",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM NON-PAR",
"identifier": "84Z100703ME01",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7618325",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.