# AMMONOOSUC COMMUNITY HEALTH SERVICES, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMMONOOSUC COMMUNITY HEALTH SERVICES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376738096
- **Legal business name:** AMMONOOSUC COMMUNITY HEALTH SERVICES, INC
- **Authorized official:** MR. EDWARD D SHANSHALA II (DIRECTOR)
- **Authorized official phone:** (603) 444-2464

## Contact information

- **Practice address:** 40 RAILROAD ST, WOODSVILLE, NH 03785-1118
- **Practice address phone:** (603) 747-3990
- **Practice address fax:** (603) 444-3441
- **Mailing address:** 25 MOUNT EUSTIS RD, LITTLETON, NH 03561-3712
- **Mailing address phone:** (603) 444-2464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NH | Yes |
| 208000000X | Pediatrics Physician | — | NH | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NH | — |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 03/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 80301805 | — | NH |