NPIMap

Organization Active NPI

Kewa Pueblo Health Corporation

Doing business as Santo Domingo Health Center

  • Non-emergency Medical Transport (VAN)
  • Santo Domingo, NM
National Provider Identifier
1679842983
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KEWA PUEBLO HEALTH CORPORATION
Doing business as
Santo Domingo Health Center
Practice address
85 W Highway 22
Santo Domingo, NM 87052
Phone
(505) 465-3060
Fax
(505) 465-1191
NPI assigned
Dec 16, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
KEWA PUEBLO HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Vanessa D Vigil
Title
Business Office Manager
Phone
(505) 465-3069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

85 W Highway 22
Santo Domingo, NM 87052

Mailing address

P.O. Box 559
Santo Domingo, NM 87052
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.

Locations

85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1679842983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 559",
            "city": "SANTO DOMINGO",
            "state": "NM",
            "postal_code": "87052",
            "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": "87052",
            "telephone_number": "505-465-3060",
            "fax_number": "505-465-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWA PUEBLO HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEWA PUEBLO HEALTH CORPORATION",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "505-465-3069"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "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 Dec 16, 2011; 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.