# HEALING WATERS HEALTH CARE

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

## Provider details

- **NPI number:** 1760043434
- **Authorized official:** DR. CHAD T HOTT DNP, APRN (NURSE PRACTITIONER)
- **Authorized official phone:** (304) 851-1055

## Contact information

- **Practice address:** 302 VIRGINIA AVE, CUMBERLAND, MD 21502-4501
- **Practice address phone:** (304) 851-1055
- **Practice address fax:** (304) 359-2259
- **Mailing address:** 1 S MARSHAM ST, ROMNEY, WV 26757-1725
- **Mailing address phone:** (304) 359-2245
- **Mailing address fax:** (304) 359-2259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 06/24/2019