NPIMap

Organization Active NPI

Seneca Nation of Indians

  • Federally Qualified Health Center (FQHC)
  • Salamanca, NY
National Provider Identifier
1023033511
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
EXEMPT Issued in NU
Legal business name
SENECA NATION OF INDIANS
Practice address
987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone
(716) 945-5894
Fax
(716) 242-6345
NPI assigned
Jul 13, 2006
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SENECA NATION OF INDIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shaela Maybee
Title
Ceo
Phone
(716) 532-5582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X EXEMPT NU Primary

Addresses

Primary practice location

987 R C Hoag Dr
Salamanca, NY 14779-1365

Mailing address

PO Box 480
Business Office
Salamanca, NY 14779-0480
Phone (716) 945-5894

Other practice location 1

275 Thomas Indian School Dr
Irving, NY 14081-9341
Phone (716) 532-5582

Other identifiers 5

IdentifierTypeStateIssuer
03108298MedicaidNY
01649476MedicaidNY
01658520MedicaidNY
03090966MedicaidNY
06177279MedicaidNY

Other names 1

  • Seneca Nation Health System Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000146 NY Part B Supplier - Clinic/Group Practice 8123920592 Receives reassigned benefits from 35 practitioners
Practice locations: Irving, NY; Salamanca, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Seneca Nation of Indians7 organizations share this tax ID, including this one
Part of
Seneca Nation of Indians

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

987 R C Hoag Dr
Salamanca, NY 14779
Phone (716) 945-5894

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cattaraugus Territory Health CenterIrving, NY, CCN 331875 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1994
Jan 1, 1994
Lionel R John Health CenterSalamanca, NY, CCN 331874 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1994
Dec 12, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Seneca Nation of Indians

    dba Cattaraugus Territory Health Center

    • Federally Qualified Health Center (FQHC)
    • Irving, NY
    • NPI 1477562288

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Seneca Nation of Indians

    dba Lionel R John Health Center

    • Federally Qualified Health Center (FQHC)
    • Salamanca, NY
    • NPI 1609882976

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1023033511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "address_2": "BUSINESS OFFICE",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147790480",
            "telephone_number": "716-945-5894",
            "fax_number": "716-945-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 R C HOAG DR",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791365",
            "telephone_number": "716-945-5894",
            "fax_number": "716-242-6345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Thomas Indian School Dr",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "NY",
            "postal_code": "140819341",
            "country_code": "US",
            "telephone_number": "716-532-5582",
            "fax_number": "716-242-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENECA NATION OF INDIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA NATION OF INDIANS",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "MAYBEE",
        "authorized_official_first_name": "SHAELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-532-5582"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03108298",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01649476",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01658520",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03090966",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06177279",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seneca Nation Health System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salamanca, NY

Sources for this page

Verify at the official NPI Registry.