National Provider Identifier Database

ATLAS MEDICAL ACO LLC
Clinic/Center

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).


Contact Information

ATLAS MEDICAL ACO LLC
3831 E BLUE LUPINE DR STE C
WASILLA, AK99654-8461
Phone: 907-521-2368
Fax:
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for ATLAS MEDICAL ACO LLC

NPI Number 1629807086
Legal business name
LBN
ATLAS MEDICAL ACO LLC
Authorized official GREGORY MANGUM - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 08/01/2024
Last updated 10/17/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ATLAS MEDICAL ACO LLC

There are currently no reviews for ATLAS MEDICAL ACO LLC


NPIdb - Home
v2.201