NPIMap

Organization Active NPI

Seneca Nation of Indians

  • Land Ambulance
  • Irving, NY
National Provider Identifier
1982231890
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SENECA NATION OF INDIANS
Practice address
12879 Route 438
Irving, NY 14081
Phone
(716) 574-2007
NPI assigned
Mar 23, 2020
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

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
J. Conrad Seneca Sr.
Title
President
Phone
(716) 532-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

12879 Route 438
Irving, NY 14081

Mailing address

8610 Main Street
Williamsville, NY 14221-7455
Phone (716) 204-3350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200710002935 NY Part B Supplier - Ambulance Service Supplier 8123920592 Practice locations: Irving, 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

Other organizations with this tax ID 6

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

Locations

12879 Route 438
Irving, NY 14081
Phone (716) 532-4900

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

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1982231890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217455",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12879 ROUTE 438",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "14081",
            "telephone_number": "716-574-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA NATION OF INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "SENECA",
        "authorized_official_first_name": "J. CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-532-4900",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, NY

Sources for this page

Verify at the official NPI Registry.