# PROHEALTH MEDICAL MANAGMENT GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386563179
- **Authorized official:** ANDREA MEDINA (OWNER)
- **Authorized official phone:** (719) 251-0241

## Contact information

- **Practice address:** 6530 S ACADEMY BLVD, COLORADO SPRINGS, CO 80906-8635
- **Practice address phone:** (719) 251-0241
- **Mailing address:** 2226 HILLSIDE RD, PUEBLO, CO 81006-1831
- **Mailing address phone:** (719) 251-0241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2026
- **Last updated:** 07/14/2026