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Kewa Pueblo Health Corporation

Community/Behavioral Health Agency in Santo Domingo Pueblo, NM · enumerated 2017 · authorized official Suraj Agboke, Business Ofiice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336659077

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Registry record

Entity type Organization (Type 2)
Legal business name Kewa Pueblo Health Corporation
Parent organization Kewa Pueblo Health Corporation
Practice address 85 West Highway 22, Santo Domingo Pueblo, NM, 87052
Enumeration date Oct 9, 2017
Last updated in NPPES Mar 18, 2026

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Suraj Agboke
Title Business Ofiice Manager

Other identifiers

Identifier Type State Issuer
82674060 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-18. Verify at npiregistry.cms.hhs.gov.
Where is Kewa Pueblo Health Corporation located?
The practice location on file with NPPES is in Santo Domingo Pueblo, NM.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-18.