NEW MEXICO STATEWIDE APPLICATION, PRIVILEGES AND FORMS
Welcome to HSC’s credentials verification on-line and document download services. You can now access all of the documents necessary for the credentials verification process. Follow the step-by-step instructions to enter your application on-line or download and print the appropriate documents, then complete, sign and mail them to us promptly so that we can process your application for appointment. Submitting the application on-line will allow you to prepopulate your information.
Instructions
All three steps must be completed regardless of whether you choose to submit your application on-line or download it!
Step One: The New Mexico Statewide Application may be submitted on-line or downloaded.
On-Line Version
Word Version
PDF Version
Step Two: Locate the organization(s) to which you are applying from the list below and download the appropriate privilege forms, bylaws and other documents. If you select a facility and find that "no additional documents are necessary," you may proceed to step three. Questions can be directed to 505-343-0070.
Notice: These additional documents are Adobe PDF files, and should be viewed with Adobe Acrobat Reader. If you do not currently have the Acrobat Reader on your system, you can download a free copy.
New Mexico Organizations
- Advanced Care Hospital of Southern New Mexico
- Alamo Navajo Medical Center: No additional documents necessary.
- Albuquerque Health Care for the Homeless: No additional documents necessary.
- Albuquerque Surgery Center
- Artesia General Hospital
- Ben Archer Community Health Centers: No additional documents necessary.
- Blue Cross Blue Shield of New Mexico
- Carlsbad Medical Center
- Cibola General Hospital
- Dan C. Trigg Memorial Hospital: No additional documents necessary.
- DeBaca Clinic: No additional documents necessary.
- El Centro Family Health: No additional documents necessary.
- Endoscopy Center: No additional documents necessary.
- First Choice Community Healthcare
- Fort Bayard Medical Center (DOH)
- Gila Regional Medical Center: No additional documents necessary.
- HealthSouth Rehabilitation Hospital
- Heart Hospital of New Mexico
- Hidalgo Medical Services: No additional documents necessary.
- Holy Cross Hospital
- Iron Eagle Enterprises: No additional documents necessary.
- Jemez Health and Human Services: No additional documents necessary.
- La Casa De Buena Salud: No additional documents necessary.
- La Clinica De Familia, Inc.
- La Familia Medical Center: No additional documents necessary.
- La Vida Health Services Organization: No additional documents necessary.
- Las Clinicas Del Norte
- Los Alamos Medical Center
- Los Lunas Community Program: No additional documents necessary.
- Memorial Medical Center
- Mesa Mental Health
- Mesilla Valley Hospital
- Miner's Colfax Medical Center: No additional documents necessary.
- Molina Healthcare of New Mexico
- New Mexico Behavioral Health Institute at Las Vegas: No additional documents necessary.
- New Mexico Rehabilitation Center (DOH): No additional documents necessary.
- New Mexico Veteran's Center (DOH)
- Nor-Lea General Hospital
- Peak Psychiatric Hospital: No additional documents necessary.
- Pecos Valley Medical Center: No additional documents necessary.
- Plains Regional Medical Center: No additional documents necessary.
- Presbyterian Health Plan
- Presbyterian Hospital: No additional documents necessary.
- Presbyterian Medical Services
- Public Health Division: No additional documents necessary.
- Pueblo of San Felipe: No additional documents necessary.
- Rehabilitation Hospital of Southern New Mexico
- Rehoboth McKinley Christian Hospital
- Sierra Vista Hospital
- Southwest Life and Health dba FirstCare Health Plans
- Turquoise Lodge (DOH)
- Union County General Hospital
- Villa Therese Catholic Clinic: No additional documents necessary.
Step Three: Return the application and release, and all other completed and signed documents to HSC within fifteen days from the date of our letter to you.
Hospital Services Corporation
P. O. Box 92200
Albuquerque, NM 87199-2200
Facsimile: (505) 346-0288
