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CH01098F AMMONOOSUC COMMUNITY HEALTH SERVICES INC (Terminated)
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Main Details
Name
AMMONOOSUC COMMUNITY HEALTH SERVICES INC
Subdivision Name
ACHS - Littleton II
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017687
340B ID
CH01098F
Grant Number
H80CS00554
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/28/2016
Last Recertification Date
2/9/2023
Termination Date
Termination Reason
4/1/2024
Other
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
202 Cottage Street
Littleton, NH 03561
Billing Address
Ammonoosuc Community Health Services Inc
25 Mount Eustis Road
Littleton, NH 03561
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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