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Atlas Medical Aco LLC — NPI 1629807086, Wasilla, AK | NPI Central

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OrganizationActive

Atlas Medical Aco LLC

NPI 1629807086 · Clinic/Center · Wasilla, AK

Provider details

NPI number: 1629807086
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Atlas Medical Aco LLC
Organization subpart: Yes
Authorized official: Gregory Mangum, Owner(435) 514-5646

Specialties & taxonomies

Clinic/CenterPrimary261Q00000X
Ambulatory Health Care Facilities

Practice location

3831 E Blue Lupine Dr Ste C

Wasilla, AK 99654-8461

Phone: (907) 521-2368

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

Po Box 4682

Logan, UT 84323-4682

Registry dates

Enumerated: 2024-08-01
Last updated: 2024-10-17
Certified: 2024-10-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.