Kewa Pueblo Health Corporation
NPI 1467739888 · Federally Qualified Health Center (FQHC) · Santo Domingo Pueblo, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kewa Pueblo Health Corporation is a Federally Qualified Health Center (FQHC) organization in Santo Domingo Pueblo, NM (NPI 1467739888).
Provider details
- NPI number
- 1467739888
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Kewa Pueblo Health Corporation
- Organization subpart
- Yes
- Authorized official
- Jimmie Charlie, Chief Medical Officer(505) 465-3060
- License
- 03217726007 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Santo Domingo Health Center
- Other name
- Santo Domingo Health Center
Registry dates
- Enumerated
- 2011-11-14
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Frequently asked questions
- What is Kewa Pueblo Health Corporation's NPI number?
- Kewa Pueblo Health Corporation's National Provider Identifier (NPI) is 1467739888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kewa Pueblo Health Corporation?
- Kewa Pueblo Health Corporation is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Kewa Pueblo Health Corporation located?
- Kewa Pueblo Health Corporation's practice location on file with NPPES is 85 W Highway 22, Santo Domingo Pueblo, NM 87052-0559.
- What is Kewa Pueblo Health Corporation's phone number?
- The practice phone number listed in the NPPES registry for Kewa Pueblo Health Corporation is (505) 465-3060.
- Does Kewa Pueblo Health Corporation accept Medicare?
- Kewa Pueblo Health Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kewa Pueblo Health Corporation?
- The authorized official listed on Kewa Pueblo Health Corporation's NPPES record is Jimmie Charlie, Chief Medical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kewa Pueblo Health Corporation's NPI active?
- Yes — Kewa Pueblo Health Corporation's NPI (1467739888) is active in the NPPES registry as of the last update on 2024-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.