Organization
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC
Active
Parent organization
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC
Authorized official
MR. EDWARD D SHANSHALA II (DIRECTOR)
(603) 444-2464
Entity
Organization
Contact information
Practice address
40 RAILROAD ST, WOODSVILLE, NH 03785-1118
(603) 747-3990
(603) 444-3441
Mailing address
25 MOUNT EUSTIS RD, LITTLETON, NH 03561-3712
(603) 444-2464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NH
208000000X
Pediatrics Physician
—
NH
261QF0400X
Federally Qualified Health Center (FQHC)
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80301805
—
NH
Enumeration date
09/06/2007
Last updated
03/19/2009
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