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
333 NHROUTE 25, WARREN, NH 03279-4431
(603) 764-5704
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
—
80301806
—
NH
Enumeration date
04/20/2007
Last updated
03/16/2009
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