Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Atlas Medical ACO LLC

Organization Clinic/Center · NPI 1629807086

Atlas Medical ACO LLC is a Clinic/Center in Wasilla, Alaska. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3831 E Blue Lupine Dr Ste C
Wasilla, AK 99654-8461
Phone: (907) 521-2368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1629807086
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAtlas Medical ACO LLC
Authorized official Gregory Mangum — Owner · (435) 514-5646
NPI enumeratedAugust 1, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing addressPo Box 4682, Logan, UT 84323-4682

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