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Organization

AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.

Active
Parent organization
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.
Other names
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
25 MOUNT EUSTIS RD, LITTLETON, NH 03561-3712
(603) 444-2464
(603) 444-3441
Mailing address
25 MOUNT EUSTIS RD, LITTLETON, NH 03561-3712
(603) 444-2464
(603) 444-3441

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80301804
NH
01
CG7632
MEDICARE RAIL ROAD
NH
Enumeration date
04/24/2007
Last updated
03/16/2009
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