Organization
LA PAZ REGIONAL HOSPITAL, INC.
Active
Other names
Tri-Valley Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
GUADALUPE MICHELLE BALDENEGRO (MEDICAL STAFF COORDINATOR)
(928) 669-7382
Entity
Organization
Contact information
Practice address
39726 HARQUAHALA ROAD, SALOME, AZ 85348
(928) 859-3460
(928) 859-3475
Mailing address
1200 W MOHAVE RD, PARKER, AZ 85344-6349
(928) 669-9201
(928) 669-7417
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H0138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480046
—
AZ
01
—
CG7880
MEDICARE RR
AZ
Enumeration date
07/12/2006
Last updated
04/27/2026
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