# ZIVA MEDICAL AUDRAIN LLC

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

## Provider details

- **NPI number:** 1851179758
- **Authorized official:** AMANDA SHURTZ (CEO)
- **Authorized official phone:** (573) 570-3555

## Contact information

- **Practice address:** 620 E MONROE ST, MEXICO, MO 65265-2919
- **Practice address phone:** (573) 570-3500
- **Mailing address:** PO BOX 197, LAKEWOOD, NJ 08701-0197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2023
- **Last updated:** 09/20/2023