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Kewa Pueblo Health Corporation

Federally Qualified Health Center (FQHC) in Santo Domingo Pueblo, NM · enumerated 2011 · authorized official Jimmie Charlie, Chief Medical Officer.

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

National Provider Identifier

1467739888

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Registry record

Entity type Organization (Type 2)
Legal business name Kewa Pueblo Health Corporation
Other name <Unavail>
Parent organization Kewa Pueblo Health Corporation
Practice address 85 W Highway 22, Santo Domingo Pueblo, NM, 87052
Phone (505) 465-3060
Fax (505) 465-1191
Enumeration date Nov 14, 2011
Last updated in NPPES Feb 22, 2024

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 03217726007 (NM) Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Jimmie Charlie
Title Chief Medical Officer
Phone (505) 465-3060

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

What is the NPI number for Kewa Pueblo Health Corporation?
The NPI for Kewa Pueblo Health Corporation is 1467739888, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kewa Pueblo Health Corporation?
NPPES lists Jimmie Charlie (Chief Medical Officer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-22.