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CH010980 AMMONOOSUC COMMUNITY HEALTH SERVICES INC (Active)
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Main Details
Name
AMMONOOSUC COMMUNITY HEALTH SERVICES INC
Subdivision Name
ACHS - Littleton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001067
340B ID
CH010980
Grant Number
H80CS00554
Additional Details
Current Program Status
Active
Registration Date
4/1/1996
Participating Start Date
4/1/1996
Participating Approval Date
4/1/1996
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Ammonoosuc Community Health Services, Inc.,
EDWARD D. SHANSHALA II, CEO
(603) 444-8223
Primary Contact
Ammonoosuc Community Health Services, Inc.
Lisa Mackenzie, Executive Assistant/ 340B Program Manager
(603) 444-8202
Addresses
Street Address
25 Mount Eustis Rd
Littleton, NH 03561-3712
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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