DIGITRACE CARE SERVICES NPI 1649390758

NPI Information

NPI: 1649390758
Provider Name: DIGITRACE CARE SERVICES
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
130 2ND ST
NEENAH, WI
ZIP 54956
Phone: (978) 536-7400
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DIGITRACE CARE SERVICES is a sleep disorder diagnostic clinic center in Neenah, WI. DIGITRACE CARE SERVICES NPI is 1649390758. The provider is registered as an organization entity type.

The provider's business location address is:

130 2ND ST
NEENAH, WI
ZIP 54956-883
Phone: (978) 536-7400

The provider's authorized official is Carl R Iberger .
The authorized official title is Evp-cfo and has the following contact phone number (978) 536-7400.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 10/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3501696	OTHER	WISCONSIN	UNITED HEALTH CARE
2	=========002	OTHER	WISCONSIN	TRICARE
3	1019876003	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	AMERICHOICE
4	=========011	OTHER	WISCONSIN	BCBS OF WI
5	196050540331	OTHER	WISCONSIN	HUMANA
6	32798300	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	ICARE
7	32798300	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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