NPI 1194002345
Kewa Pueblo Health Corporation
Practice location
- Address
- 85 W Highway 22, Santo Domingo, NM 87052-0340
- Phone
- (505) 465-3060
- Fax
- (505) 318-1079
- Mailing address
- PO Box 559, Santo Domingo Pueblo, NM 87052-0559
Authorised official
- Name
- Paul Ray Gurule
- Title
- Chief Financial Officer
- Phone
- (505) 465-3060
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1194002345
- Entity type
- Organization
- NPI issued
- 15 Nov 2011
- Record last updated
- 18 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.