Living Waters Medical Center

LBN: Living Waters Medical Center
Living Waters Medical Center is an health care organization with primary practice located at 100 Main Ave , Logan WV 25601-3323. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Living Waters Medical Center can be contacted via phone (304) 946-8350, or through Ellis, Amber via phone (304) 946-8350.

Contact Information

Primary practice address
100 Main Ave Logan WV 25601-3323
Phone: (304) 946-8350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amber Advanced Practice Registered Nurse (APRN)
Phone: (304) 946-8350

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1114585619
LBN Legal business name Living Waters Medical Center
DBA Doing business as
Authorized official Ellis, Amber Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2019
Last updated May 31st, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers