National Provider Identifier Database

KEWA PUEBLO HEALTH CORPORATION
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

KEWA PUEBLO HEALTH CORPORATION
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM87052-0340
Phone: 505-465-3060
Fax: 505-318-1079
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for KEWA PUEBLO HEALTH CORPORATION

NPI Number 1194002345
Legal business name
LBN
KEWA PUEBLO HEALTH CORPORATION
Authorized official PAUL GURULE - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 11/15/2011
Last updated 03/18/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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