NPIMap

Organization Active NPI

Kewa Pueblo Health Corporation

  • Hearing and Speech Clinic/Center
  • Santo Domingo, NM
National Provider Identifier
1902183155
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
KEWA PUEBLO HEALTH CORPORATION
Practice address
85 W Highway 22
Santo Domingo, NM 87052-0340
Phone
(505) 465-3060
Fax
(505) 465-1191
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 Nov 15, 2011

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

Authorized official

Name
Vanessa Diana Vigil
Title
Business Office Manager
Phone
(505) 465-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 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 Corporation8 organizations share this tax ID, including this one
Part of
Kewa Pueblo Health Corporation

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": "1321315200000",
    "number": "1902183155",
    "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": "505-465-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWA PUEBLO HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEWA PUEBLO HEALTH CORPORATION",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "505-465-3060"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "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 Nov 15, 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.