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Billing Questions?

Answers to billing questions can be obtained by contacting the billing department:

Monday – Friday
8:00am to 4:30 pm

Phone: (575) 472-3417 ext. 1013 or 1014
Fax: (575) 472-4587

Need Assistance 
If you have questions or require assistance completing this application, please contact the business office:

Elena Tenorio - (575) 472-3417 ext. 1014
Christine Sanchez - (575) 472-3417 ext. 1013

 


Insurance Information

If you need to report updated insurance information, please complete the form below or contact admissions at:

Pablita Abeyta - (575) 472-3417 ext. 1000
Gina Sena - (575) 472-3417 ext. 1001

Insurance Information Update Form

If you wish to update your Insurance Information online; then, please click the button below.

Before updating your information online, please have an electronic copy (image or pdf) of your insurance card (front and back).

A valid email account is required to complete the online form.


How to Pay a Bill

By mail – Send a personal check, traveler's check or money order to:
Guadalupe County Hospital, 117 Camino de Vida, Suite 100, Santa Rosa, NM 88435.

By phone – Call (575) 472-3417 ext. 1000 or 1001 to use your credit card or debit card.

In person – Guadalupe County Hospital, 117 Camino de Vida, Suite 100, Santa Rosa, NM 88435

Automatic Payment- Complete the form below:

Automatic Credit/Debit Payment Authorization Form

Guadalupe County Hospital accepts, Visa, Master Card, Discover, American Express and bank debit cards.

If you wish to submit the automatic payment authorization form online; then, please click the button below.

A valid email account is required to complete the online form.


GCH Care Discount Program

Guadalupe County Hospital is dedicated to the health and welfare of the community and to ensuring that each person has access to quality and compassionate medical care, regardless of ability to pay.  GCH offers financial assistance to un-insured or under-insured GCH patients in the form of discounts, based on annual household incomes and household size. 

The discounts vary from 25%-75% for household incomes up to 300% of Federal Poverty Level.  

The discounts are available to all patients regardless of their age, sex, race, creed, disability, sexual orientation or nation origin.

In order to be considered for a financial discount, please complete the application form below.  Please provide proof of income, (copies of income tax or last two pay stubs for household).  If proof of income is not submitted with your application, it will be considered incomplete.

GCH Care Application Form

If you wish to submit the form online; then, please click the button below.

Before you begin your online submission, please have the following items prepared and ready to attach:

Insurance

  • Medical Insurance

  • Medicaid

Income Verification

  • Pay Stubs

  • W2s of household

  • Income Tax Return

A valid email account is required to complete the online form.