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Living Waters Medical Center

Primary Care Clinic/Center in Logan, WV · enumerated 2019 · authorized official Amber Ellis, Director/Family Nurse Practitioner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114585619

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Registry record

Entity type Organization (Type 2)
Legal business name Living Waters Medical Center
Practice address 100 Main Ave, Logan, WV, 25601
Phone (304) 946-8350
Enumeration date May 31, 2019
Last updated in NPPES Mar 26, 2025

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Amber Ellis
Title Director/Family Nurse Practitioner
Phone (304) 946-8350

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Living Waters Medical Center?
Living Waters Medical Center is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-26.