Organization
SENECA NATION OF INDIANS
Active
Parent organization
SENECA NATION OF INDIANS
Other names
Lionel R John Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENECA NATION OF INDIANS
Authorized official
SHAELA MAYBEE (CEO)
(716) 532-5582
Entity
Organization
Contact information
Practice address
987 R C HOAG DR, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 242-6345
Mailing address
987 R C HOAG DR, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 242-6345
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03108298
—
NY
01
—
5501170
GHI GROUP #
—
01
—
970085
UNITED CONCORDIA GROUP #
—
01
—
A1872
HEALTHPLEX INS
NY
01
—
GRP512009001
WNY BC/BS GROUP #
NY
Enumeration date
07/31/2006
Last updated
04/21/2025
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