| Ammonoosuc Community Health Services, Inc. | |
|
25 Mount Eustis Rd Littleton NH 03561-3712 | |
| (603) 444-2464 | |
| (603) 444-3441 |
| Full Name | Ammonoosuc Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Mount Eustis Rd, Littleton, New Hampshire |
| Authorized Official Name and Position | Edward D Shanshala Ii (DIRECTOR) |
| Authorized Official Contact | 6034442464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ammonoosuc Community Health Services, Inc. 25 Mount Eustis Rd Littleton NH 03561-3712 Ph: (603) 444-2464 | Ammonoosuc Community Health Services, Inc. 25 Mount Eustis Rd Littleton NH 03561-3712 Ph: (603) 444-2464 |
| NPI Number | 1619196409 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 03/16/2009 |
| Medicare PECOS PAC ID | 1052361664 |
|---|---|
| Medicare Enrollment ID | O20080228000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619196409 | NPI | - | NPPES |
| CG7632 | Other | NH | MEDICARE RAIL ROAD |
| 80301804 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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