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

Atlas Medical ACO LLC

Organization Clinic/Center · NPI 1790513109

Atlas Medical ACO LLC is a Clinic/Center in Logan, Utah. 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

258 S Main St Ste 210
Logan, UT 84321-5768
Phone: (435) 999-9510
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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 number1790513109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Mangum — Owner · (435) 514-5646
NPI enumeratedJuly 25, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address258 S Main St Ste 210, Logan, UT 84321-5768

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