NPIMap

Organization Active NPI

Ziva Medical Audrain LLC

  • General Acute Care Hospital
  • Mexico, MO
National Provider Identifier
1851179758
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ZIVA MEDICAL AUDRAIN LLC
Practice address
620 E Monroe St
Mexico, MO 65265-2919
Phone
(573) 570-3500
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Amanda Shurtz
Title
Ceo
Phone
(573) 570-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

620 E Monroe St
Mexico, MO 65265-2919

Mailing address

PO Box 197
Lakewood, NJ 08701-0197

National Provider Directory

National Provider Directory
Tax ID family
Ziva Medical Audrain LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1851179758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087010197"
        },
        {
            "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": "573-570-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIVA MEDICAL AUDRAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-570-3555"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.