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SANTO DOMINGO HEALTH CENTER
NPI 1467739888
Clinic/Center - Federally Qualified Health Center (FQHC) in Santo Domingo Pueblo, NM

Active since November 14, 2011
85 W HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052(505) 465-3060(505) 465-1191 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 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 1467739888) is a healthcare organization registered as a federally qualified health center (fqhc) in Santo Domingo Pueblo, New Mexico and active in the NPI registry since November 2011. The organization lists Jimmie R Charlie, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1467739888
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKEWA PUEBLO HEALTH CORPORATION
Location Address85 W HIGHWAY 22Santo Domingo Pueblo, NM 87052-0559
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 OfficialJimmie R CharlieChief Medical Officer · (505) 465-3060
Enumeration DateNovember 14, 2011
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1467739888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/CenterTaxonomy 261Q00000X · License 03217726007 (NM)
85 W HIGHWAY 22, Santo Domingo Pueblo, NM 87052
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Other Names 1

Other NameSanto Domingo Health Center

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
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 (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 1467739888. It was assigned to this organization in the NPPES registry on November 14, 2011. The provider is also known 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 Pueblo, 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 Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Kewa Pueblo Health Corporation was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.