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Kewa Pueblo Health Corporation
Federally Qualified Health Center (FQHC) in Santo Domingo Pueblo, New Mexico
NPI 1467739888

Kewa Pueblo Health Corporation is a Federally Qualified Health Center (FQHC) based in Santo Domingo Pueblo, NM and is specialized in Federally Qualified Health Center (FQHC). Kewa Pueblo Health Corporation practices in Santo Domingo Pueblo, NM. The NPI Number for Kewa Pueblo Health Corporation is 1467739888 and holds a License No. 03217726007 (New Mexico).

The current practice location address for Kewa Pueblo Health Corporation is 85 W Highway 22, Santo Domingo Pueblo, NM and can be reached out via phone at 505-465-3060 and via fax at 505-465-1191.

Location: 85 W Highway 22, Santo Domingo Pueblo, NM, 87052-0559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467739888
Provider Name
Kewa Pueblo Health Corporation
Credential
Provider Entity Type
Organization
Address
85 W Highway 22, Santo Domingo Pueblo, NM, 87052-0559
Phone Number
505-465-3060
Fax Number
505-465-1191
Provider Enumeration Date
11/14/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
85 W Highway 22
City
Santo Domingo Pueblo
State
New Mexico
Zip
87052-0559
Phone Number
505-465-3060
Fax Number
505-465-1191
person
Provider Business Mailing Address Details
Address
85 W Highway 22
City
Santo Domingo Pueblo
State
New Mexico
Zip
87052-0559
Phone Number
505-465-3060
Fax Number
505-465-1191
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
03217726007 (New Mexico)
Definition
Definition to come...
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