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Kewa Pueblo Health Corporation — NPI 1811274061, Santo Domingo, NM | NPI Central

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NPI 1811274061

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Kewa Pueblo Health Corporation

NPI 1811274061 · Clinical Medical Laboratory · Santo Domingo, NM

Provider details

NPI number: 1811274061
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Parent organization: Kewa Pueblo Health Corporation
Organization subpart: Yes
Authorized official: Vanessa Vigil, Business Office Manager(505) 465-3060

Specialties & taxonomies

Clinical Medical LaboratoryPrimary291U00000X
Laboratories

Practice location

85 W Highway 22

Santo Domingo, NM 87052-0340

Phone: (505) 465-3060

Fax: (505) 465-1191

Approximate (ZIP-level) locationGet directions

More NM providers

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.