OrganizationActive
Kewa Pueblo Health Corporation
NPI 1558648709 · Adolescent and Children Mental Health Clinic/Center · Santo Domingo, NM
Provider details
- NPI number
- 1558648709
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Kewa Pueblo Health Corporation
- Organization subpart
- Yes
- Authorized official
- Vanessa Vigil, Business Office Manager(505) 465-3060
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
85 W Highway 22
Santo Domingo, NM 87052-0340
Phone: (505) 465-3060
Fax: (505) 465-1191
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
Registry dates
- Enumerated
- 2011-11-15
- Last updated
- 2011-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.