Pivotal Care Partnership Llc | |
2925 Debarr Rd Ste 199 Anchorage AK 99508-2959 | |
(907) 632-5057 | |
Not Available |
Full Name | Pivotal Care Partnership Llc |
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Speciality | Clinic/Center |
Location | 2925 Debarr Rd Ste 199, Anchorage, Alaska |
Authorized Official Name and Position | Bruce Havelock (DIRECTOR) |
Authorized Official Contact | 9073752025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pivotal Care Partnership Llc Po Box 90812 Anchorage AK 99509-0812 Ph: (907) 375-2025 | Pivotal Care Partnership Llc 2925 Debarr Rd Ste 199 Anchorage AK 99508-2959 Ph: (907) 632-5057 |
NPI Number | 1811596026 |
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Provider Enumeration Date | 10/19/2020 |
Last Update Date | 12/30/2020 |
Medicare PECOS PAC ID | 2264966779 |
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Medicare Enrollment ID | O20241106002376 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811596026 | NPI | - | NPPES |
1588968945 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Je'dette Angelique Green |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588968945 PECOS PAC ID: 4486823564 Enrollment ID: I20110805000457 |
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