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CH01098C AMMONOOSUC COMMUNITY HEALTH SERVICES INC (Active)
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Main Details
Name
AMMONOOSUC COMMUNITY HEALTH SERVICES INC
Subdivision Name
ACHS - Whitefield
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005120
340B ID
CH01098C
Grant Number
H80CS00554
Additional Details
Current Program Status
Active
Registration Date
6/8/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/12/2006
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
14 King Sq
Whitefield, NH 03598-3302
Billing Address
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC
25 MT EUSTIS ROAD
LITTLETON, NH 03561
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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