OrganizationActive
Kewa Pueblo Health Corporation
NPI 1194002345 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Santo Domingo, NM
Provider details
- NPI number
- 1194002345
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Parent organization
- Kewa Pueblo Health Corporation
- Organization subpart
- Yes
- Authorized official
- Paul Gurule, Chief Financial Officer(505) 465-3060
Specialties & taxonomies
Suppliers
Practice location
85 W Highway 22
Santo Domingo, NM 87052-0340
Phone: (505) 465-3060
Fax: (505) 318-1079
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 559
Santo Domingo Pueblo, NM 87052-0559
Other names (DBA / former)
- Doing business as
- Santo Domingo Health Center
- Doing business as
- Santo Domingo Health Center
Registry dates
- Enumerated
- 2011-11-15
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.