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KEWA PUEBLO HEALTH CORPORATION
NPI 1194002345
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Santo Domingo, NM

Active since November 15, 2011
85 W HIGHWAY 22, SANTO DOMINGO, NM 87052(505) 465-3060(505) 318-1079 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2026, Feb 27, 2019 (2 updates tracked since 2019).

About Kewa Pueblo Health Corporation NPPES

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

KEWA PUEBLO HEALTH CORPORATION (NPI 1194002345), doing business as Santo Domingo Health Center, is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Santo Domingo, New Mexico and active in the NPI registry since November 2011. The organization lists Paul Ray Gurule, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1194002345
Entity TypeOrganization
Primary Taxonomy332800000X
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) 318-1079
Organization SubpartYes
Authorized OfficialPaul Ray GuruleChief Financial Officer · (505) 465-3060
Enumeration DateNovember 15, 2011
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1194002345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
85 W HIGHWAY 22, Santo Domingo, NM 87052
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Other Names 1

Doing Business AsSanto Domingo Health Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

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.

KEWA PUEBLO HEALTH CORPORATION
Clinic/Center (Dental)
85 W HIGHWAY 22
SANTO DOMINGO, NM 87052
Sandoval County (505) 465-3060
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
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 1194002345. 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 Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

What insurance does Kewa Pueblo Health Corporation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 40 other insurers list Kewa Pueblo Health Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kewa Pueblo Health Corporation was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.