NPIMap

Organization Active NPI

La Paz Regional Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Parker, AZ
National Provider Identifier
1598038093
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H0138 Issued in AZ
Legal business name
LA PAZ REGIONAL HOSPITAL INC
Practice address
1200 W Mohave Rd
Parker, AZ 85344-6349
Phone
(928) 669-9201
Fax
(928) 669-7409
NPI assigned
Feb 14, 2012
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Guadalupe Michelle Baldenegro
Title
Medical Staff Coordinator
Phone
(928) 669-7382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H0138 AZ Primary

Addresses

Primary practice location

1200 W Mohave Rd
Parker, AZ 85344-6349

Mailing address

1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-9201

Other identifiers 1

IdentifierTypeStateIssuer
480046MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031219000694 AZ Part B Supplier - Clinic/Group Practice 1557273356 Receives reassigned benefits from 94 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salome, AZ; Quartzsite, AZ; Parker, AZ; Bouse, AZ
O20120409000479 AZ Part A Provider - Critical Access Hospital 1557273356 Receives reassigned benefits from 1 practitioner
Practice locations: Parker, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598038093. Details of each certification follow.

Hospital certification: CCN 03Z317

Legal name
LA PAZ REGIONAL HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 2000 in AZ
Enrollment address
1200 W Mohave Rd
Parker, AZ 85344-6349
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Tri Valley Medical Cent9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chris Sando Individual Corporate DirectorBoard Member Oct 1, 2025
Kimberly McDermott Individual Corporate DirectorBoard Member Feb 1, 2024
La Paz Regional Hospital Inc Organization, Parker, AZ Corporation, Non-profit Operational/Managerial Control Jan 1, 2017
Lin Bachtel Individual Corporate DirectorBoard Member Sep 1, 2018
Nance Franklin Individual Corporate DirectorBoard Member Oct 1, 2025
Cory Madoneczky Individual Corporate DirectorBoard Member Feb 1, 2023
Norman Simpson Individual Corporate OfficerBoard Member Sep 1, 2012
Robert Page Individual Corporate DirectorBoard Member Feb 1, 2017
Marion Shontz Individual Corporate DirectorBoard Member Oct 1, 2025
Julian Barbara Individual Corporate DirectorBoard Member Oct 1, 2012
Zafer Genc Individual Corporate OfficerCeo Jan 1, 2022
W-2 Managing EmployeeAd; Jan 1, 2022
Randy Smith Individual Corporate DirectorBoard Member Feb 1, 2023
Cheryl Montijo Individual Corporate DirectorBoard Member Oct 1, 2012
Linda M Cushman Individual Corporate DirectorBoard Member Jun 1, 2018
Christine a Barrington Individual Corporate OfficerCfo Oct 1, 2022
W-2 Managing EmployeeAd; Oct 1, 2022

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
La Paz Regional Hospital IncParker, AZ, CCN 031317 Hospital Operational/Managerial Control (100%) Jan 1, 2017
La Paz Medical Services-QuartzsiteQuartzsite, AZ, CCN 033987 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 7, 1994
Tri-Valley Medical CenterSalome, AZ, CCN 033994 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2006
Bouse Medical ClinicBouse, AZ, CCN 033999 Rural health clinic 5% Or Greater Direct Ownership Interest Jan 1, 1990

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1598038093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W MOHAVE RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446349",
            "telephone_number": "928-669-9201",
            "fax_number": "928-669-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MOHAVE RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446349",
            "telephone_number": "928-669-9201",
            "fax_number": "928-669-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PAZ REGIONAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "BALDENEGRO",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "928-669-7382"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AZ",
            "license": "H0138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480046",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

Verify at the official NPI Registry.