Kewa Pueblo Health Corporation
NPI #1679842983 in Santo Domingo, New Mexico
Provider Information
- NPI Number
- 1679842983
- Entity Type
- Organization
- Organization Name
- Kewa Pueblo Health Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KEWA PUEBLO HEALTH CORPORATION
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Dec 16, 2011
- Last Updated
- Dec 16, 2011
Practice Location
- Address
- 85 W HIGHWAY 22
- City
- Santo Domingo
- State
- New Mexico
- ZIP Code
- 87052
- Phone
- (505) 465-3060
Authorized Official
- Name
- VANESSA D VIGIL
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (505) 465-3069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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