# PROMED HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ProMed Family Practice --RHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316099302
- **Authorized official:** EDWARD M MILLERMAIER MD (CMO)
- **Authorized official phone:** (269) 552-2910

## Contact information

- **Practice address:** 1241 W BROADWAY ST, THREE RIVERS, MI 49093-8319
- **Practice address phone:** (269) 273-9539
- **Mailing address:** 5943 STADIUM DR, STE 4, KALAMAZOO, MI 49009-3016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020