| La Paz Regional Hospital, Inc. | |
|
39726 Harquahala Road Salome AZ 85348 | |
| (928) 859-3460 | |
| (928) 859-3475 |
| Full Name | La Paz Regional Hospital, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 39726 Harquahala Road, Salome, Arizona |
| Authorized Official Name and Position | Guadalupe Michelle Baldenegro (MEDICAL STAFF COORDINATOR) |
| Authorized Official Contact | 9286697382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Paz Regional Hospital, Inc. 1200 W Mohave Rd Parker AZ 85344-6349 Ph: (928) 669-9201 | La Paz Regional Hospital, Inc. 39726 Harquahala Road Salome AZ 85348 Ph: (928) 859-3460 |
| NPI Number | 1629093539 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 04/27/2026 |
| Medicare PECOS PAC ID | 1557273356 |
|---|---|
| Medicare Enrollment ID | O20050628001431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629093539 | NPI | - | NPPES |
| 480046 | Medicaid | AZ | |
| CG7880 | Other | AZ | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0138 (Arizona) | Primary |