Noble Health Audrain Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

NOBLE HEALTH AUDRAIN INC

Doing business as

Platinum Health Systems Audrain

Practice address

620 E Monroe St
Mexico, MO 65265-2919

Phone

(573) 582-5000

Fax

(573) 582-3700

NPI assigned

Mar 11, 2021

Last updated

Jun 23, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

NOBLE HEALTH AUDRAIN INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy L Obrien

Title

Ceo

Phone

(573) 582-5000

Specialties & licenses 5

Addresses

Other names 2

• Platinum Health Systems Audrain Doing business as
• Professional Group Other name

Part of

Audrain Comm Cancer Center

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Noble Health Audrain Inc

  dba Platinum Health Systems Audrain

  • General Acute Care Hospital
  • Mexico, MO
  • NPI 1891386504
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1437734407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919",
            "telephone_number": "573-582-5000",
            "fax_number": "573-582-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919",
            "telephone_number": "573-582-5000",
            "fax_number": "573-582-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HEALTH AUDRAIN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOBLE HEALTH AUDRAIN INC",
        "enumeration_date": "2021-03-11",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-582-5000"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Health Systems Audrain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Professional Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jerilynn Nichols, MS, PHARMD, CGC
• Noble Health Audrain Inc (Platinum Health Systems Audrain)
• Noble Health Audrain Inc (Platinum Health Systems Audrain)
• Noble Health Audrain Inc (Audrain Comm Cancer Center)
• Noble Health Audrain Inc (Audrain Comm Specialty Clinic)
• Noble Health Audrain Inc (Audrain Com Clinic Family Med)
• Noble Health Audrain Inc (Audrain Urgent Care Clinic)
• Noble Health Audrain Inc (Audrain Comm Womens Health)
• Noble Health Audrain Inc (Audrain Comm Clinic)
• Noble Health Audrain Inc (Platinum Health Systems Audrain)

• Emergency Medicine Physician in Mexico, MO
• Providers in Mexico, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.