SENECA NATION OF INDIANS NPI 1609882976

NPI Information

NPI: 1609882976
Provider Name: SENECA NATION OF INDIANS

Doing Business As: LIONEL R JOHN HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
987 R C HOAG DR
SALAMANCA, NY
ZIP 14779
Phone: (716) 945-5894
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SENECA NATION OF INDIANS is a federally qualified health center (fqhc) clinic center in Salamanca, NY. SENECA NATION OF INDIANS NPI is 1609882976. The provider is registered as an organization entity type.
The provider Is Doing Business As Lionel R John Health Center.

The provider's business location address is:

987 R C HOAG DR
SALAMANCA, NY
ZIP 14779-365
Phone: (716) 945-5894
Fax: (716) 242-6345

The provider's authorized official is Shaela Maybee .
The authorized official title is Ceo and has the following contact phone number (716) 532-5582.

The CLIA number assigned to this NPI record is 33D0010400 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 4/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	970085	OTHER		UNITED CONCORDIA GROUP #
2	03108298	MEDICAID	NEW YORK
3	A1872	OTHER	NEW YORK	HEALTHPLEX INS
4	5501170	OTHER		GHI GROUP #
5	GRP512009001	OTHER	NEW YORK	WNY BC/BS GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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