NPI | 1619196409 |
---|---|
Doing Business As | AMMONOOSUC COMMUNITY HEALTH SERVICES, INC. |
Entity Type | Organization |
Authorized Contact | EDWARD D SHANSHALA II Director 603-444-2464 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2009-03-16 |