Kewa Pueblo Health Corporation
NPI #1336659077 in Santo Domingo Pueblo, New Mexico
Provider Information
- NPI Number
- 1336659077
- Entity Type
- Organization
- Organization Name
- Kewa Pueblo Health Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KEWA PUEBLO HEALTH CORPORATION
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 9, 2017
- Last Updated
- Oct 9, 2017
Practice Location
- Address
- 85 WEST HIGHWAY 22
- State
- New Mexico
- ZIP Code
- 87052
Authorized Official
- Name
- MR. SURAJ AGBOKE
- Title
- BUSINESS OFIICE MANAGER
- Phone
- (505) 465-3060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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