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KEWA PUEBLO HEALTH CORPORATION
NPI 1336659077
Community/Behavioral Health in Santo Domingo Pueblo, NM

Active since October 09, 2017
85 WEST HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Oct 9, 2017 (2 updates tracked since 2017).

About Kewa Pueblo Health Corporation NPPES

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

KEWA PUEBLO HEALTH CORPORATION (NPI 1336659077) is a healthcare organization registered as a community/behavioral health in Santo Domingo Pueblo, New Mexico and active in the NPI registry since October 2017. The organization lists Suraj Agboke, Business Ofiice Manager, as its authorized official.

NPPES Registry Identity

NPI1336659077
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKEWA PUEBLO HEALTH CORPORATION
Location Address85 WEST HIGHWAY 22Santo Domingo Pueblo, NM 87052
Mailing AddressPo Box 340Santo Domingo Pueblo, NM 87052-0340 · (505) 465-3060 · Fax (505) 465-1155
Organization SubpartYes
Authorized OfficialSuraj AgbokeBusiness Ofiice Manager · (505) 465-3060
Enumeration DateOctober 9, 2017
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1336659077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
85 WEST HIGHWAY 22, Santo Domingo Pueblo, NM 87052
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Other Identifiers 1

Medicaid82674060NM

Other Providers at the Same Location NPPES 20

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

JOHN PATIRCK PAGETT RN
Registered Nurse (Community Health)
85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3060
BETH AIME STRIMPEL RN
Registered Nurse (Community Health)
85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3072
TASHINA CHAREN NELSON
Community Health Worker
85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3060
ALEXANDRA E GADA OD
Optometrist
85 WEST HIGHWAY 22
SANTO DOMINGO, NM 87052
Sandoval County (505) 465-3060
DR. THERESA BROWN-DOONQUAH DDS
Dentist
85 WEST HIGHWAY 22, KEWA PUEBLO HEALTH CORPORATION
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3078
DR. ROSA MARIA EDMUNDS PHARMD
Pharmacist
85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052
Sandoval County (505) 465-3060
JOHN M ROBERTSON MD
Internal Medicine
85 WEST HIGHWAY 22
SANTO DOMINGO, NM 87052
Sandoval County (505) 465-3060
MRS. TINA T BUI-BURGOS CNP
Nurse Practitioner (Family)
85 WEST HIGHWAY 22, KEWA PUEBLO HEALTH CORPORATION
SANTO DOMINGO PUEBLO, 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 1336659077. It was assigned to this organization in the NPPES registry on October 9, 2017.

Where is Kewa Pueblo Health Corporation located?

Kewa Pueblo Health Corporation is located at 85 West Highway 22, Santo Domingo Pueblo, NM 87052.

What is Kewa Pueblo Health Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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.