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SANTO DOMINGO HEALTH CENTER
NPI 1003193251
Clinic/Center - Dental in Santo Domingo, NM

Active since November 15, 2011CLIA 32D0907625 · Microscopy
85 W HIGHWAY 22, SANTO DOMINGO, NM 87052(505) 465-3060(505) 465-1191 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Santo Domingo Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTO DOMINGO HEALTH CENTER (NPI 1003193251) is a healthcare organization registered as a dental in Santo Domingo, New Mexico and active in the NPI registry since November 2011. The organization holds a CLIA Microscopy certificate valid through December 16, 2026 and lists Vanessa Diana Vigil, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003193251
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKEWA PUEBLO HEALTH CORPORATION
Location Address85 W HIGHWAY 22Santo Domingo, NM 87052-0340
Mailing AddressPo Box 559Santo Domingo Pueblo, NM 87052-0559 · (505) 465-3060 · Fax (505) 465-1191
Phone(505) 465-3060
Fax(505) 465-1191
Organization SubpartYes
Authorized OfficialVanessa Diana VigilBusiness Office Manager · (505) 465-3060
Enumeration DateNovember 15, 2011
✔ NPI 1003193251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
85 W HIGHWAY 22, Santo Domingo, NM 87052
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Other Names 1

Doing Business AsSanto Domingo Health Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D0907625

Santo Domingo Health Center · Santo Domingo Pueblo, NM
Active · expires Dec 16, 2026
CLIA Number32D0907625
Laboratory TypeTribal Health Center
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorJimmie R. Charlie
Laboratory Phone(505) 465-3060
Laboratory LocationSanto Domingo Health Center85 West Hiway 22, Santo Domingo Pueblo, NM 87052
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN SALAZAR CNP
Nurse Practitioner (Family)
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3060
JOHANNAH RENEE YAZZIE CPNP-PC
Nurse Practitioner (Pediatrics)
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3060
KEWA PUEBLO HEALTH CORPORATION
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052
Sandoval County (505) 465-3060
JAMES D LUTZ MD
Family Medicine
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3060
JASMINE JO LATOMA RN
Registered Nurse
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3060
KEWA PUEBLO HEALTH CORPORATION
Optometrist
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052
Sandoval County (505) 465-3060
KEWA PUEBLO HEALTH CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3060
KEWA PUEBLO HEALTH CORPORATION
Clinic/Center (Adolescent and Children Mental Health)
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052
Sandoval County (505) 465-3060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kewa Pueblo Health Corporation's NPI number?

The NPI number for Kewa Pueblo Health Corporation is 1003193251. It was assigned to this organization in the NPPES registry on November 15, 2011. The provider is doing business as Santo Domingo Health Center.

Where is Kewa Pueblo Health Corporation located?

Kewa Pueblo Health Corporation is located at 85 W Highway 22, Santo Domingo, NM 87052. The listed phone number is (505) 465-3060.

What is Kewa Pueblo Health Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Kewa Pueblo Health Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D0907625) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kewa Pueblo Health Corporation was last updated on November 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.