# PEDIATRIX MEDICAL GROUP

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

## Provider details

- **NPI number:** 1326399601
- **Authorized official:** SUZANNE HENTRICH (HOSPITAL ASSOCIATE)
- **Authorized official phone:** (314) 251-5860

## Contact information

- **Practice address:** 615 S NEW BALLAS RD, NEONATAL INTENSIVE CARE UNIT, SAINT LOUIS, MO 63141-8221
- **Practice address phone:** (314) 251-6450
- **Mailing address:** 621 S NEW BALLAS RD, SUITE \# 2016B, SAINT LOUIS, MO 63141-8232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 2012029888 | MO | Yes |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 09/26/2012