# PIVOTAL CARE PARTNERSHIP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811596026
- **Authorized official:** BRUCE HAVELOCK (DIRECTOR)
- **Authorized official phone:** (907) 375-2025

## Contact information

- **Practice address:** 2925 DEBARR RD STE 199, ANCHORAGE, AK 99508-2959
- **Practice address phone:** (907) 632-5057
- **Mailing address:** PO BOX 90812, ANCHORAGE, AK 99509-0812
- **Mailing address phone:** (907) 375-2025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2020
- **Last updated:** 12/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1588968945 | — | AK |