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SANTO DOMINGO HEALTH CENTER
NPI 1558648709
Clinic/Center - Adolescent and Children Mental Health in Santo Domingo, NM

Active since November 15, 2011
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: 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 1558648709) is a healthcare organization registered as an adolescent and children mental health in Santo Domingo, New Mexico and active in the NPI registry since November 2011. The organization lists Vanessa Diana Vigil, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558648709
Entity TypeOrganization
Primary Taxonomy261QM0855X
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 1558648709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
85 W HIGHWAY 22, Santo Domingo, NM 87052
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Other Names 1

Doing Business AsSanto 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 (Federally Qualified Health Center (FQHC))
85 W HIGHWAY 22
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 1558648709. 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 Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.