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If your organization would like to be added to this list, please contact Ms. Kristi Beck at (800)577-2121 or (505)343-0010. All those organizations listed on the Users' List receive a hard copy of the application as it is updated to ensure they are always in receipt of the latest version of the form.

Acoma Canoncito Laguna Hospital Contact: Ms. Beverly Feistner P.O. Box 130 San Fidel, NM 87049-0130 Anesthesia Associates of NM, P.C. Contact: Ms. Tina Hudson 1720 Louisiana Blvd. NE Suite 305 Albuquerque, NM 87110 Albuquerque Pediatrics Contact: Ms. Becky Turney 8308 Constitution Pl. NE Albuquerque, NM 87110 Cimarron Health Plan Contact: Mr. Ken Hunt 7801 Academy NE NorthTowne 1, Suite 101 Albuquerque, NM 87113 Columbia Medical Center of Carlsbad Contact: Ms. Barbara Lee 2430 Pierce Street Carlsbad, NM 88220 [Daniel C. Trigg Memorial Hospital] [listed in order under "Trigg"] DeBaca General Hospital Contact: Ms. Inita Thomson 500 N. 10th Street Ft. Sumner, NM 88119 Eddie County P.H.O. Contact: Ms. Jennifer Babbitt 2319 West Pierce Street Carlsbad, N.M. 88220 First Choice Community Healthcare Contact: Ms. Brenda Romero 2001 N. Centro Familiar Blvd. SW Albuquerque, NM 87105 Gila Regional Medical Center Contact: Ms. Marina Maestas 1313 East 32nd Street Silver City, NM 88061 Guadalupe County Hospital Contact: Ms. Elitta Otero P.O. Box A Santa Rosa, NM 88435 Holy Cross Hospital Contact: Ms. Melanie Huntsinger P.O. Box DD Taos, NM 87571 Hospital Care Specialists Contact: Dr. Barbara McGuire P.O. Box 40708 Albuquerque, NM 87196-0708 Los Alamos Medical Center Contact: Ms. Marlene Ruhe 3917 West Road Los Alamos, NM 87544 Los Alamos PHO Contact: Ms. Pat Agnew 3917 West Road, Suite 175 Los Alamos, NM 87544 Mesilla Valley Hospital Contact: Ms. Kelly Gilbert 3751 Del Rey Blvd. Las Cruces, NM 88011 Mimbres Memorial Hospital Contact: Ms. Nyna Tryon 900 West Ash Deming, NM 88030 Miners’ Colfax Medical Center Contact: Peggy Walton 200 Hospital Drive Raton, NM 87740 Namaste Child & Family Development Center Contact: Lori Ann Bell P.O. Box 27 Peralta, NM 87042-0270 NM Gastroenterology Contact: Ella 1651 Galisteo, Suite 12 Santa Fe, NM 87505 Heart Hospital of New Mexico Contact: Ms. Pauline Marquez 715 Dr. Martin Luther King Ave. Suite 301 Albuquerque, N.M. 87102 New Mexico Heart Institute, P.A. Contact: Ms. June Gonzales 1001 Coal Avenue SE Albuquerque, NM 87106

New Mexico Orthopaedic Associates Contact: Ms. Mary Yuhaus P.O. Box 25886 Albuquerque, NM 87125 Northeastern Regional Hospital Contact: Ms. Emily Castellano P.O. Box 238 Las Vegas, NM 87701 Perinatal Associates of New Mexico, Ltd. Contact: Anne Bryarly 201 Cedar SE #405 Albuquerque, NM 87106 Plains Regional Medical Center Contact: Ms. Donna Smith P.O. Box 1688 Clovis, NM 88101 Planned Parenthood Attn: Ms. Christine Cabeza de Baca 1804 Carlisle NE Albuquerque, NM 87110 Presbyterian Healthcare Svcs. Contact: Dr. James Hutchison P.O. Box 26666 MSA Albuquerque, NM 87125-6666 Presbyterian Healthcare Svcs. Contact: Ms. Trish Greer/PMG P.O. Box 26666 Albuquerque, NM 87125-6666 Presbyterian Health Plan Contact: Ms. Tammy Nelson P.O. Box 27489 Albuquerque, NM 87125-7489 Presbyterian Medical Services Contact: Ms. Karen Wells P.O. Box 2267 Santa Fe, NM 87504-2267 Rehoboth-McKinley Christian Hospital Contact: Mr. Jay Vink 1901 Red Rock Drive Gallup, NM 87301 Radiology Associates Contact: Ms. Celesta Chelf 8307 Constitution Ave. NE Albuquerque, NM 87110 San Juan Regional Medical Center Contact: Ms. Theresa Becker 801 West Maple Street Farmington, NM 87401 Santa Fe Physicians IPA Contact: Ms. Sheryl Zeigler 1920 Tijeras Road Santa Fe, NM 87054 Sierra Vista Hospital Contact: Ms. Paula Brewster 800 East Ninth Ave. T or C, NM 87901 Socorro General Hospital Contact: Ms. Sally Garcia P.O. Box 1009 Socorro, NM 87801 Southwest Cardiology Associates Contact: Ms. Jill Williams 1101 Medical Arts Ave. NE Bldg. 5 Albuquerque, NM 87102 St. Joseph Healthcare System Contact: Ms. Dori Graves P.O. Box 26666 Albuquerque, N.M. 87125-6666 Surgical Associates Contact: Gini Swem 711 Encino Place NE Albuquerque, NM 87102 St. Vincent Hospital Contact: Ms. Cecilia Lucero 455 St. Michaels Drive Santa Fe, NM 87504 Trigg Memorial Hospital Contact: Ms. Marsha Byrd P.O. Box 608 Tucumcari, NM 88401 Union County Hospital Contact: Ms. Jill Swagerty P.O. Box 489 Clayton, NM 88415 UNM Health Sciences Center Contact: Ms. Kathy Barchus 2500 Marble NE, HSSB #130 Albuquerque, NM 87131

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