Interested in Becoming a Member?

Member Information Sheet

Antitrust Policy and Guidelines

PHO Membership Agreement

New Provider Resources

National Plan and Provider Enumeration System (NPPES): NPI Registry

Applying for an NPI number


Login/Sign Up

Quick reference guide

Becoming a Medicaid Provider

Medicaid (Conduent) Provider Application

Medicaid Application Tips

If you are unable to submit an application online, click the appropriate link to print the MAD335 or MAD312 paper application or contact the Provider Relations Helpdesk for assistance at; or call them at 505-246-0710 or 1-800-299-7304.

Filing a Claim

CMS-1500 Claim Form & Instructions

Taxonomy Codes

Identify your taxonomy code


For more information or questions about the Los Alamos PHO, please contact us at Email.