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CH01098E AMMONOOSUC COMMUNITY HEALTH SERVICES INC (Terminated)
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Main Details
Name
AMMONOOSUC COMMUNITY HEALTH SERVICES INC
Subdivision Name
FRANCONIA FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004450
340B ID
CH01098E
Grant Number
H80CS00554
Additional Details
Current Program Status
Terminated
Registration Date
6/8/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/12/2006
Last Recertification Date
1/31/2017
Termination Date
Termination Reason
4/1/2018
Site closure
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
155 Main St
Franconia, NH 03580
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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