# INDIAN HEALTH SERVICE LOCKPORT IHS HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477959120
- **Authorized official:** CARRIE PETERSON (CEO)
- **Authorized official phone:** (716) 280-3853

## Contact information

- **Practice address:** 150 PROFESSIONAL PKWY, LOCKPORT, NY 14094-5368
- **Practice address phone:** (716) 280-3850
- **Practice address fax:** (716) 280-3868
- **Mailing address:** 150 PROFESSIONAL PKWY, LOCKPORT, NY 14094-5368
- **Mailing address phone:** (716) 280-3850
- **Mailing address fax:** (716) 280-3868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2014
- **Last updated:** 01/10/2020