Organization
ZIVA MEDICAL AUDRAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHURTZ (CEO)
(573) 570-3555
Entity
Organization
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 570-3500
Mailing address
PO BOX 197, LAKEWOOD, NJ 08701-0197
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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