LA PAZ REGIONAL HOSPITAL, INC.
NPI 1629093539
Clinic/Center - Rural Health in Salome, AZ

Active since July 12, 2006CLIA 03D1039169 · Waiver
39726 HARQUAHALA ROAD, SALOME, AZ 85348(928) 859-3460(928) 859-3475 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2026, Jun 6, 2017 (2 updates tracked since 2017).

About La Paz Regional Hospital, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA PAZ REGIONAL HOSPITAL, INC. (NPI 1629093539), doing business as Tri-valley Medical Center, is a healthcare organization registered as a rural health in Salome, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Guadalupe Michelle Baldenegro, Medical Staff Coordinator, as its authorized official.

NPPES Registry Identity

NPI1629093539
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLA PAZ REGIONAL HOSPITAL, INC.
Location Address39726 HARQUAHALA ROADSalome, AZ 85348
Mailing Address1200 W Mohave RdParker, AZ 85344-6349 · (928) 669-9201 · Fax (928) 669-7417
Fax(928) 859-3475
Organization SubpartNo
Authorized OfficialGuadalupe Michelle BaldenegroMedical Staff Coordinator · (928) 669-7382
Enumeration DateJuly 12, 2006
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1629093539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in AZ · H0138
39726 HARQUAHALA ROAD, Salome, AZ 85348

Other Names 1

Doing Business AsTri-valley Medical Center

Other Identifiers 2

Medicaid480046AZ
OtherCG7880AZ · Medicare Rr

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Paz Regional Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

113

Medicare enrollment records show 113 clinicians reassign Medicare billing to La Paz Regional Hospital, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Diagnostic Radiology57
Nurse Practitioner27
Cardiovascular Disease (Cardiology)8
Certified Registered Nurse Anesthetist (CRNA)4
Internal Medicine3
Interventional Cardiology3
Clinical Social Worker2
General Surgery2
5 other specialties7

Nearest to this location (20)

See all 113
Nurse Practitioner
NPI 1497232714
150 E. TYSON ROAD
Quartzsite, AZ 85346
(928) 927-8747
✔ PECOS35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932446093
1200 W MOHAVE RD
Parker, AZ 85344
(928) 669-9201
✔ Accepts Medicare47 mi
General Practice
NPI 1881732899
1200 W MOHAVE RD
Parker, AZ 85344
(928) 669-7380
✔ PECOS✔ Accepts Medicare47 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518251503
1200 W MOHAVE RD
Parker, AZ 85344
(928) 669-9201
✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1902349681
1200 W MOHAVE RD STE 1
Parker, AZ 85344
(928) 669-7311
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1194084616
1200 W MOHAVE RD
Parker, AZ 85344
(928) 669-9201
✔ PECOS47 mi
Podiatry
NPI 1467732271
1713 S KOFA AVE STE K
Parker, AZ 85344
(928) 669-3033
✔ PECOS✔ Accepts Medicare47 mi
Emergency Medicine
NPI 1124464839
520 ROSE LN
Wickenburg, AZ 85390
(928) 668-1803
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1598750820
2130 MESQUITE AVE UNIT 108
Lake Havasu City, AZ 86403
(928) 854-9433
✔ PECOS✔ Accepts Medicare64 mi
Hospitalist
NPI 1891007787
101 CIVIC CENTER LN
Lake Havasu City, AZ 86403
(928) 854-0002
✔ PECOS✔ Accepts Medicare65 mi
Interventional Cardiology
NPI 1366822801
13460 N 94TH DR STE J1
Peoria, AZ 85381
(623) 876-8816
✔ PECOS✔ Accepts Medicare78 mi
Cardiovascular Disease (Cardiology)
NPI 1790195741
10815 W MCDOWELL RD STE 202
Avondale, AZ 85392
(623) 433-0202
✔ PECOS✔ Accepts Medicare79 mi
Cardiovascular Disease (Cardiology)
NPI 1710353123
10815 W MCDOWELL RD STE 202
Avondale, AZ 85392
(623) 433-0202
✔ PECOS✔ Accepts Medicare79 mi
Cardiovascular Disease (Cardiology)
NPI 1609857705
10815 W MCDOWELL RD STE 202
Avondale, AZ 85392
(623) 433-0202
✔ PECOS✔ Accepts Medicare79 mi
Interventional Cardiology
NPI 1093955908
10815 W MCDOWELL RD SUITE 202
Avondale, AZ 85392
(623) 433-0202
✔ PECOS✔ Accepts Medicare79 mi
Interventional Cardiology
NPI 1144212721
10815 W MCDOWELL RD SUITE 202
Avondale, AZ 85392
(623) 433-0202
✔ PECOS✔ Accepts Medicare79 mi
General Surgery
NPI 1942837851
18701 N 67TH AVE
Glendale, AZ 85308
(623) 561-7983
✔ PECOS✔ Accepts Medicare81 mi
Diagnostic Radiology
NPI 1518953926
755 E MCDOWELL RD
Phoenix, AZ 85006
(602) 271-5207
✔ PECOS✔ Accepts Medicare92 mi
Diagnostic Radiology
NPI 1023026234
2601 E ROOSEVELT ST DEPARTMENT OF RADIOLOGY
Phoenix, AZ 85008
(602) 344-5311
✔ PECOS✔ Accepts Medicare94 mi
Internal Medicine
NPI 1043476096
10214 N TATUM BLVD STE B300
Phoenix, AZ 85028
(623) 256-4160
✔ PECOS✔ Accepts Medicare95 mi
See all 113 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1039169

La Paz Regional Hospital Dba Tri-Valley Medical Center · Salome, AZ
Active · expires Jun 30, 2027
CLIA Number03D1039169
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorBrett S. Gochnour
Laboratory Phone(928) 859-3460
Laboratory LocationLa Paz Regional Hospital Dba Tri-Valley Medical Center39726 Harquahala Rd, Salome, AZ 85348
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Paz Regional Hospital, Inc.'s NPI number?

The NPI number for La Paz Regional Hospital, Inc. is 1629093539. It was assigned to this organization in the NPPES registry on July 12, 2006. The provider is doing business as Tri-Valley Medical Center.

Where is La Paz Regional Hospital, Inc. located?

La Paz Regional Hospital, Inc. is located at 39726 Harquahala Road, Salome, AZ 85348. The listed phone number is (928) 859-3460.

What is La Paz Regional Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is La Paz Regional Hospital, Inc. enrolled in Medicare?

Yes. La Paz Regional Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Paz Regional Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 113 clinicians in 13 Medicare specialties reassign their Medicare billing to La Paz Regional Hospital, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (57), Nurse Practitioner (27) and Cardiovascular Disease (Cardiology) (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does La Paz Regional Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1039169) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does La Paz Regional Hospital, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list La Paz Regional Hospital, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Paz Regional Hospital, Inc. was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.