| Ammonoosuc Community Health Services, Inc. | |
|
1095 Profile Rd Ste B Franconia NH 03580-4938 | |
| (603) 823-7078 | |
| Not Available |
| Full Name | Ammonoosuc Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1095 Profile Rd Ste B, Franconia, 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. 1095 Profile Rd Ste B Franconia NH 03580-4938 Ph: (603) 823-7078 |
| NPI Number | 1275742660 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 1052361664 |
|---|---|
| Medicare Enrollment ID | O20080512000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275742660 | NPI | - | NPPES |
| 30512081 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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