NPIMap

Organization Active NPI

Seneca Nation of Indians

  • Radiology Clinic/Center
  • Salamanca, NY
National Provider Identifier
1053409581
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
EXEMPT
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
Oct 10, 2006
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
Radiology Clinic/Center 261QR0200X EXEMPT Primary

Addresses

Primary practice location

987 R C Hoag Dr
Salamanca, NY 14779-1365

Mailing address

987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894

Other practice location 1

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

Other identifiers 2

IdentifierTypeStateIssuer
03108298MedicaidNY
01658520MedicaidNY

Other names 3

  • Cattaraugus Territory Health Center Doing business as
  • Lionel R John Health Center Doing business as
  • Seneca Nation Health System Other name

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

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

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1053409581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2006-10-10",
        "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": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03108298",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01658520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cattaraugus Territory Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lionel R John Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lionel R John Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seneca Nation Health System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salamanca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.