Bill Pay

If your account number DOES NOT start with the letters: B, H, P, M or SN please call 575-356-3495 to check the status of your account.

Patient Account Information
Account Number
First Name
Last Name
Cardholder Information
Name on Card
Address
Street Address Line 1
 
Street Address Line 2
 
City
State
Zip
Phone
Email Address
Payment Information
Charge Amount
Card Type
Card Number
Security Code
Expiration Date
/
Spam Check