Kewa Pueblo Health Corporation
NPI 1336659077ActiveOrganization· Community/Behavioral Health· Santo Domingo Pueblo, NM
Community/Behavioral Health in Santo Domingo Pueblo, New Mexico, registered in NPPES in October 2017, part of Kewa Pueblo Health Corporation. The authorized official on file is Suraj Agboke, Business Ofiice Manager.
Overview
| NPI | 1336659077 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kewa Pueblo Health Corporation |
| NPI issued | Oct 9, 2017 |
| Last updated in NPPES | Mar 18, 2026 |
| Certified by provider | Mar 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Behavioral Health Primary | 251S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Community/Behavioral Health providers in Santo Domingo Pueblo
- 1134248909
- 1396944211
- 1689571200
- 1942162300
- 1912889478
- 1477457992
- 1639030265
- 1447137385
- 1972464626
- 1679456107
- 1720966476
- 1053218024