1. Home
  2. Directory
  3. Alaska
  4. Wasilla
  5. Clinic Center
  6. NPI Profile

ATLAS MEDICAL ACO LLC
NPI 1629807086
Clinic/Center in Wasilla, AK

Active since August 01, 2024
3831 E BLUE LUPINE DR STE C, WASILLA, AK 99654(907) 521-2368 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Atlas Medical Aco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLAS MEDICAL ACO LLC (NPI 1629807086) is a healthcare organization registered as a clinic/center in Wasilla, Alaska and active in the NPI registry since August 2024. The organization lists Gregory Chad Mangum, Owner, as its authorized official.

NPPES Registry Identity

NPI1629807086
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATLAS MEDICAL ACO LLC
Location Address3831 E BLUE LUPINE DR STE CWasilla, AK 99654-8461
Mailing AddressPo Box 4682Logan, UT 84323-4682
Phone(907) 521-2368
Organization SubpartYes
Authorized OfficialGregory Chad MangumOwner · (435) 514-5646
Enumeration DateAugust 1, 2024
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1629807086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3831 E BLUE LUPINE DR STE C, Wasilla, AK 99654
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLAS MEDICAL ALASKA LLC
Internal Medicine
3831 E BLUE LUPINE DR STE C
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 215-4846
TERELLE NICOLE STERLING PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3831 E BLUE LUPINE DR STE C
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 215-4846

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlas Medical Aco LLC's NPI number?

The NPI number for Atlas Medical Aco LLC is 1629807086. It was assigned to this organization in the NPPES registry on August 1, 2024.

Where is Atlas Medical Aco LLC located?

Atlas Medical Aco LLC is located at 3831 E Blue Lupine Dr Ste C, Wasilla, AK 99654. The listed phone number is (907) 521-2368.

What is Atlas Medical Aco LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Atlas Medical Aco LLC was last updated on October 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.