NPIMap

Organization Active NPI

Seneca Nation of Indians

Doing business as Lionel R John Health Center

  • Federally Qualified Health Center (FQHC)
  • Salamanca, NY
National Provider Identifier
1609882976
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SENECA NATION OF INDIANS
Doing business as
Lionel R John Health Center
Practice address
987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone
(716) 945-5894
Fax
(716) 242-6345
NPI assigned
Jul 31, 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 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 identifiers 5

IdentifierTypeStateIssuer
GRP512009001OtherNYWNY BC/BS GROUP #
03108298MedicaidNY
970085OtherUNITED CONCORDIA GROUP #
A1872OtherNYHEALTHPLEX INS
5501170OtherGHI GROUP #

Other names 1

  • Lionel R John Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101023000140 NY Part A Provider - Federally Qualified Health Center (FQHC) 8123920592 Practice locations: Salamanca, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609882976. Details of each certification follow.

Federally qualified health center certification: CCN 331874

Legal name
SENECA NATION OF INDIANS
Doing business as
LIONEL R JOHN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 1994
Last certification
Jan 1, 1994
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
987 R C Hoag Dr
Salamanca, NY 14779-1365

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.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Seneca Nation of Indians Organization, Salamanca, NY Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1994 100%
Operational/Managerial Control Dec 12, 2022
Shaela Maybee Individual Corporate OfficerChief Executive Officer (Ceo) Dec 12, 2022
W-2 Managing EmployeeChief Executive Officer (Ceo) Dec 12, 2022
Operational/Managerial ControlChief Executive Officer (Ceo) Dec 12, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Seneca Nation of Indians
    • Federally Qualified Health Center (FQHC)
    • Salamanca, NY
    • NPI 1023033511

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

    CMS ownership
  • 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

    • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    • Salamanca, NY
    • NPI 1659457851

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

    CMS ownership
  • Seneca Nation of Indians
    • Land Ambulance
    • Irving, NY
    • NPI 1982231890

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

    CMS ownership

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1609882976",
    "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": [],
    "basic": {
        "organization_name": "SENECA NATION OF INDIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA NATION OF INDIANS",
        "enumeration_date": "2006-07-31",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WNY BC/BS GROUP #",
            "identifier": "GRP512009001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03108298",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA GROUP #",
            "identifier": "970085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLEX INS",
            "identifier": "A1872",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI GROUP #",
            "identifier": "5501170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "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"
        }
    ]
}

Other providers in Salamanca, NY

Sources for this page

Verify at the official NPI Registry.