Organization Active NPI

Digitrace Care Services, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1710146899
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
DIGITRACE CARE SERVICES, INC.
Practice address
1110 Professional CT
Suite 103-a
Hagerstown, MD 21740-5826
Phone
(978) 536-7400
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carl Iberger
Title
Evp/Cfo
Phone
(978) 536-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1110 Professional CT
Suite 103-a
Hagerstown, MD 21740-5826

Mailing address

200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400

Other identifiers 3

IdentifierTypeStateIssuer
85970001OtherVACARE FIRST
85TZDIOtherMDCAREFIRST
85970002OtherVACARE FIRST

National Provider Directory

National Provider Directory

Locations

1110 Professional Ct
Ste 103A
Hagerstown, MD 21740
Phone (240) 420-2801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1710146899",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PROFESSIONAL CT",
            "address_2": "SUITE 103-A",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405826",
            "telephone_number": "978-536-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITRACE CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "IBERGER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "978-536-7400"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "85970001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "85TZDI",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "85970002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.