AMMONOOSUC COMMUNITY HEALTH SERVICES, INC. (NPI# 1619196409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619196409 |
Entity Type | Organization |
Organization Name | AMMONOOSUC COMMUNITY HEALTH SERVICES, INC. |
Other Organization Name | AMMONOOSUC COMMUNITY HEALTH SERVICES, INC. |
Practice Address |
25 Mount Eustis Rd Littleton NH 03561-3712 |
Practice Telephone | 6034442464 |
Practice Fax Number | 6034443441 |
Mailing Telephone | 6034442464 |
Mailing Fax Number | 6034443441 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2009-03-16 |
Authorized Official Name | MR. EDWARD D SHANSHALA II (DIRECTOR) |
Authorized Official Telephone | 6034442464 |
Is Organization Subpart | Y |
Parent Organization Name | AMMONOOSUC COMMUNITY HEALTH SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 80301804 | 05 | |
NH | MEDICARE RAIL ROAD | CG7632 | 01 |
Other Name | Type Code |
---|---|
Ammonoosuc Community Health Services, Inc. | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437376209 | Ammonoosuc Community Health Services, Inc. | Clinic/Center | 79 Swiftwater Rd, Woodsville, NH 03785-1447 | 2007-04-20 |
Street Address |
25 MOUNT EUSTIS RD |
City | LITTLETON |
State | NH |
Zip Code | 03561-3712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417929910 | Jessica Thibodeau | Nurse Practitioner | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2006-02-07 |
1538637228 | Brenda Fortier-dube | Social Worker | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2018-11-12 |
1376951285 | Keith Foster Batchelder | Dentist | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2014-07-24 |
1285893586 | Ammonoosuc Community Health Services Inc | Clinic/Center | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2008-06-03 |
1912166380 | Ammonoosuc Community Health Services Inc | Clinic/Center | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2008-06-02 |
1114108396 | Elizabeth F Harman | Physician Assistant | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2007-11-16 |
1154510170 | Joshua L. Gleiner | Physician Assistant | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2007-10-16 |
1356490312 | Nicole V Fischler | Nurse Practitioner | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2007-01-09 |
1073613030 | Stephen M Noyes | Social Worker | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2006-09-22 |
1790884435 | Wanda W Mclure | Physician Assistant | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2006-09-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497391536 | Christopher Lee Flores Toves | Registered Nurse | Littleton Regional Healthcare, 600 Saint Johnsbury Road, Littleton, NH 03561 | 2019-11-25 |
1588017446 | Genevieve Mary Kelley | Family Medicine | 580 Saint Johnsbury Rd Ste K, Littleton, NH 03561 | 2016-07-15 |
1578924072 | Taveras Transportation | Non-emergency Medical Transport (VAN) | 103 Farr Hill Rd, Littleton, NH 03561 | 2016-03-10 |
1417216466 | Karl Herzig | Pharmacist | 25 Mount Eutis Rd, Ammonoosuc Community Health Services, Littleton, NH 03561 | 2012-05-11 |
1952678377 | Francis Joseph Dunn Jr. | Pharmacist | 25 Mount Eustis Road, Littleton, NH 03561 | 2011-11-30 |
1164738514 | Susan Jane Fraser | Pharmacist | 118 -136 Meadow St, Littleton, NH 03561 | 2010-08-24 |
1174706071 | Jean Langevin | Orthopaedic Surgery | 580 Sain Johnsbury Road, Alpine Clinic - Littleton, Littleton, NH 03561 | 2007-12-13 |
1609094028 | Catherine Hier | Counselor | 229 Cottage Street, Littleton, NH 03561 | 2007-04-23 |
1932323136 | Northern New England Compounding Pharmacy | Pharmacy | 338 Union St, Littleton, NH 03561 | 2007-04-12 |
1801917216 | Patrick Fitzpatrick | Allergy & Immunology | 580 St. Jonsbury Rd., Littleton, NH 03561 | 2007-04-03 |
Find all providers in zip 03561 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1982821765 | Ammonoosuc Community Health Services, Inc | Clinic/Center | 333 Nhroute 25, Warren, NH 03279-4431 | 2007-04-20 |
1942215819 | Catholic Medical Center | Clinic/Center | 199 Manchester St, New Horizons Shelter, Manchester, NH 03103-5232 | 2006-07-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.