Indian Health Service Lockport IHS Health Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

INDIAN HEALTH SERVICE LOCKPORT IHS HEALTH CENTER

Practice address

150 Professional Pkwy
Lockport, NY 14094-5368

Phone

(716) 280-3850

Fax

(716) 280-3868

NPI assigned

Nov 7, 2014

Last updated

Jan 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Peterson

Title

Ceo

Phone

(716) 280-3853

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• David Bruce Moore, D.M.D.

  • General Practice Dentistry
  • Bethlehem, PA
  • NPI 1770745853
  NPD
• Deborah Scott

  • Mental Health Counselor
  • Fort Polk, LA
  • NPI 1467689356
  NPD

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1477959120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL PKWY",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945368",
            "telephone_number": "716-280-3850",
            "fax_number": "716-280-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL PKWY",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945368",
            "telephone_number": "716-280-3850",
            "fax_number": "716-280-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE LOCKPORT IHS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-280-3853"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Howard, RN
• Michelle Lynn Howe, M. ED.
• Thomas Hughes, MD
• Alix Hutchison
• Mohamed M Ibrahim, M.D.
• Innovateu, LLC.
• Kathryn Adele Iraci, MSW
• Judy Izard, RPH
• Michele Mary Jackson, OTR/L
• Nicole Jacobs

• Public Health or Welfare Agency in Lockport, NY
• Providers in Lockport, NY by specialty
• Public Health or Welfare Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.