SENECA NATION OF INDIANS (NPI# 1023033511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023033511 |
Entity Type | Organization |
Organization Name | SENECA NATION OF INDIANS |
Other Organization Name | SENECA NATION HEALTH DEPARTMENT |
Practice Address |
987 R C Hoag Dr Salamanca NY 14779-1365 |
Mailing Address |
Po Box 480 Business Office Salamanca NY 14779-0480 |
Practice Telephone | 7169455894 |
Practice Fax Number | 7169455889 |
Mailing Telephone | 7169455894 |
Mailing Fax Number | 7169455652 |
Enumeration Date | 2006-07-13 |
Last Update Date | 2015-03-20 |
Authorized Official Name | TIMOTHY J WATERMAN (CEO) |
Authorized Official Telephone | 7169455894 |
Is Organization Subpart | Y |
Parent Organization Name | SENECA NATION OF INDIANS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
EXEMPT | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Seneca Nation Health Department | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982231890 | Seneca Nation of Indians | Ambulance | 12879 Route 438, Irving, NY 14081 | 2020-03-23 |
1659457851 | Seneca Nation of Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2006-10-31 |
1154404606 | Seneca Nation of Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2006-10-20 |
1477562288 | Seneca Nation of Indians | Clinic/Center | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2006-08-08 |
1609882976 | Seneca Nation of Indians | Clinic/Center | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2006-07-31 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SENECA NATION OF INDIANS | 90 Ohiyo Way, Salamanca, NY 14779 |
System for Award Management (SAM) Entities | SENECA NATION OF INDIANS FEDERAL CREDIT UNION | 12837 Route 438, Irving, NY 14081-9330 |
Street Address |
987 R C HOAG DR |
City | SALAMANCA |
State | NY |
Zip Code | 14779-1365 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003897414 | Sushama Kotmire Thandla | Family Medicine | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2005-11-11 |
1659919421 | Angie Vigliotti | Social Worker | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2019-12-12 |
1124524764 | Morgan Thorne | Dentist | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2018-04-03 |
1316475536 | Brittni Marie Fuller | Social Worker | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2017-06-01 |
1316482102 | Tracy Lyn Vedder | Social Worker | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2017-01-03 |
1346785110 | Amanda Bishop | Counselor | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2017-01-03 |
1568907715 | Brian Murphy | Counselor | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2016-12-27 |
1164967329 | Anthony Rovito Jr. | Counselor | 987 R C Hoag Dr, Behavioral Health Unit, Salamanca, NY 14779-1365 | 2016-12-27 |
1912345612 | Rianna Mayou | Dentist | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2013-06-05 |
1831462423 | Jody M Lamarca | Dietitian, Registered | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2012-02-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427681493 | Denise Ann O'neil | Nurse Practitioner | 4039 Us 219, Salamanca, NY 14779 | 2020-02-19 |
1568908135 | Scott Connor | Counselor | 987 Rc Hoag Dr., Salamanca, NY 14779 | 2017-01-06 |
1730553900 | Lorraine Miller | Registered Nurse | 300 Prospect Avenue, Salamanca, NY 14779 | 2015-11-25 |
1194974568 | Lori Ann Quigley | Licensed Practical Nurse | 184 Prospect Ave., Salamanca, NY 14779 | 2008-09-10 |
1679722144 | Neandra Jean Haynoski | Licensed Practical Nurse | 78 State Park Ave, Salamanca, NY 14779 | 2008-09-09 |
1184713091 | John, Ross L., Sr. Native Pharmaceutical Direct | Pharmacy | 77 Main Street, The Sovereign Seneca Nation, Salamanca, NY 14779 | 2006-10-11 |
1114967346 | Lori M Crassi | Nutritionist | Lionel R John Health Center, 987 Rc Hoag Drive, Salamanca, NY 14779 | 2006-06-07 |
1053369983 | J Nicholas Porcello | Dentist | Lionel R. John Health Center, 987 Rc Hoag Dr, Salamanca, NY 14779 | 2006-05-04 |
1881659878 | Kathleen Rose Lavelle | Occupational Therapist | 4039 Route 219, Suite 104, Salamanca, NY 14779 | 2006-04-20 |
1295206977 | Lauren Kathlene Hunt | Physical Therapist | 4039 Route 219, Salamanca, NY 14779 | 2018-12-06 |
Find all providers in zip 14779 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609882976 | Seneca Nation of Indians | Clinic/Center | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2006-07-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.