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Contact Information

KEWA PUEBLO HEALTH CORPORATION
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM87052-0340
 Phone: 505-465-3060
 Fax: 505-465-1191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEWA PUEBLO HEALTH CORPORATION

NPI # 1467739615
LBN Legal business name KEWA PUEBLO HEALTH CORPORATION
Authorized official VANESSA VIGIL - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/15/2011
Last updated 11/15/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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