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NPI Code Detail

MEDICARE: SENECA NATION OF INDIANS

MEDICARE: SENECA NATION OF INDIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)EXEMPT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023033511
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENECA NATION OF INDIANS
Provider Business Mailing Address
First Line : PO BOX 480
Second Line : BUSINESS OFFICE
City : SALAMANCA
State : NY
Zip : 14779-0480
Country : US
Telephone Number : 716-945-5894
Fax Number : 716-945-5652
Provider Business Practice Location Address
First Line : 987 R C HOAG DR
Second Line :
City : SALAMANCA
State : NY
Zip : 14779-1365
Country : US
Telephone Number : 716-945-5894
Fax Number : 716-242-6345
Authorized Official
Title or Position : CEO
Name : SHAELA MAYBEE
Credential :
Telephone Number : 716-532-5582
Provider Enumeration Date : 07/13/2006
Last Update Date : 04/21/2025

Similar Medicare Providers

1003897414 — SUSHAMA KOTMIRE THANDLA MD
Practice Location Address:
987 R C HOAG DR
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14779-1365
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Practice Fax:
1962475459 — MICHAEL KALSMAN MD
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987 R C HOAG DR
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Practice Fax:
1548210131 — DR. GREGORY J FLAITZ OD
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14779-1365
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1609882976 — SENECA NATION OF INDIANS
Practice Location Address:
987 R C HOAG DR
SALAMANCA, NY
14779-1365
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Practice Fax: 716-242-6345
1477569077 — KURT M SCHMITT O.D.
Practice Location Address:
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1427154954 — ROBERT E LINK PA
Practice Location Address:
987 R C HOAG DR
SALAMANCA, NY
14779-1365
Practice Phone: 716-945-5894
Practice Fax: 716-242-6345

Directions to “SENECA NATION OF INDIANS ” Practice Location

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