SENECA NATION OF INDIANS (NPI# 1154404606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154404606 |
| Entity Type | Organization |
| Organization Name | SENECA NATION OF INDIANS |
| Other Organization Name | CATTARAUGUS INDIAN RESERVATION HEALTH CENTER |
| Practice Address |
36 Thomas Indian School Dr Irving NY 14081-9300 |
| Practice Telephone | 7165325582 |
| Practice Fax Number | 7165328165 |
| Mailing Telephone | 7165325582 |
| Mailing Fax Number | 7165328165 |
| Enumeration Date | 2006-10-20 |
| 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 | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 022975 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NABP | 3301049 | 01 |
| NY | NYS PHARMACY LICENSE | 022975 | 01 |
| Other Name | Type Code |
|---|---|
| Cattaraugus Indian Reservation Health Center | 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 |
| 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 |
| 1023033511 | Seneca Nation of Indians | Clinic/Center | 987 R C Hoag Dr, Salamanca, NY 14779-1365 | 2006-07-13 |
| 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 |
36 THOMAS INDIAN SCHOOL DR |
| City | IRVING |
| State | NY |
| Zip Code | 14081-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531444 | Amy Ellen Choboy | Pharmacist | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2005-07-12 |
| 1427609346 | Christopher S Postle | Social Worker | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2019-09-23 |
| 1689234668 | Heidi Lynne Kazmark | Counselor | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2019-06-20 |
| 1558841205 | Mary Elizabeth Buck | Social Worker | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2018-08-21 |
| 1952846917 | Crystal Leigh Kawski | Counselor | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2016-12-30 |
| 1124563382 | Kristen A Meder | Counselor | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2016-12-27 |
| 1154781326 | Stephen Fabiano | Dentist | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2016-03-02 |
| 1881089340 | Stephanie Solberg | Dentist | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2015-04-01 |
| 1245544782 | Lola John-roberts | Dentist | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2010-07-26 |
| 1487985594 | Elona Michelle Wasik | Pharmacist | 36 Thomas Indian School Dr, Irving, NY 14081-9300 | 2010-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231890 | Seneca Nation of Indians | Ambulance | 12879 Route 438, Irving, NY 14081 | 2020-03-23 |
| 1710373287 | Christopher Zonneville | Physical Therapist | 845 Main Road, Irving, NY 14081 | 2015-04-12 |
| 1982834271 | Lakeshore Orthopedic Group P.C. | Specialist | 849 Rts 5 & 20, Suite 1, Irving, NY 14081 | 2009-07-21 |
| 1568688877 | Edgar Lacson Bangsil | Emergency Medicine | 845 Route 5 & 20, Irving, NY 14081 | 2007-04-17 |
| 1023232444 | Mohammed Sabir | Emergency Medicine | 845 Routes Five and Twenty, Irving, NY 14081 | 2007-04-13 |
| 1427188457 | Tlc Health Network | Home Health | 12644 Seneca Road, Irving, NY 14081 | 2007-03-07 |
| 1558426841 | Maureen Margaret Schichtel | Physical Therapist | 845 Rt 5& 20, Irving, NY 14081 | 2006-12-27 |
| 1003923103 | Michael M Candaras | Psychiatry & Neurology | 12655 Seneca Rd, Irving, NY 14081 | 2006-08-24 |
| 1609806751 | Courtney Carroll Nyitrai | Pharmacist | Tlc Health Network, 845 Routes 5 &20, Irving, NY 14081 | 2006-07-04 |
| 1437190451 | Kevin G Flanagan | Audiologist | 849 Rt 5 & 20, Irving, NY 14081 | 2006-06-09 |
| Find all providers in zip 14081 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467517623 | Anish Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2650 4th St, Long Island City, NY 11102-4126 | 2006-12-27 |
| 1053432195 | St Regis Mohawk Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 412 State Route 37, Akwesasne, NY 13655-3109 | 2007-04-03 |
| 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 |
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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.