NPIMap

Organization Active NPI

Kewa Pueblo Health Corporation

Doing business as Santo Domingo Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Santo Domingo, NM
National Provider Identifier
1194002345
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
KEWA PUEBLO HEALTH CORPORATION
Doing business as
Santo Domingo Health Center
Practice address
85 W Highway 22
Santo Domingo, NM 87052-0340
Phone
(505) 465-3060
Fax
(505) 318-1079
NPI assigned
Nov 15, 2011
Organization subpart
Yes
Parent organization
KEWA PUEBLO HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Ray Gurule
Title
Chief Financial Officer
Phone
(505) 465-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

85 W Highway 22
Santo Domingo, NM 87052-0340

Mailing address

PO Box 559
Santo Domingo Pueblo, NM 87052-0559
Phone (505) 465-3060

Other names 1

  • Santo Domingo Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kewa Pueblo Health Corp8 organizations share this tax ID, including this one
Part of
Kewa Pueblo Health Corp

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1194002345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 559",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870520559",
            "telephone_number": "505-465-3060",
            "fax_number": "505-465-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W HIGHWAY 22",
            "city": "SANTO DOMINGO",
            "state": "NM",
            "postal_code": "870520340",
            "telephone_number": "505-465-3060",
            "fax_number": "505-318-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWA PUEBLO HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEWA PUEBLO HEALTH CORPORATION",
        "enumeration_date": "2011-11-15",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "GURULE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "505-465-3060"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santo Domingo Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santo Domingo Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santo Domingo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.