NPIMap

Organization Active NPI

Ammonoosuc Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Littleton, NH
National Provider Identifier
1619196409
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.
Practice address
25 Mount Eustis Rd
Littleton, NH 03561-3712
Phone
(603) 444-2464
Fax
(603) 444-3441
NPI assigned
Apr 24, 2007
Organization subpart
Yes
Parent organization
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Edward D Shanshala II
Title
Chief Executive Officer
Phone
(603) 444-8223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

25 Mount Eustis Rd
Littleton, NH 03561-3712

Mailing address

25 Mount Eustis Rd
Littleton, NH 03561-3712
Phone (603) 444-2464

Other identifiers 2

IdentifierTypeStateIssuer
CG7632OtherNHMEDICARE RAIL ROAD
80301804MedicaidNH

Other names 1

  • Ammonoosuc Community Health Services, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000373 NH Part A Provider - Federally Qualified Health Center (FQHC) 1052361664 Practice locations: Littleton, NH

Federally qualified health center certification: CCN 301804

Legal name
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 1995
Last certification
Jul 1, 1995
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 24, 1975 in NH
Enrollment address
25 Mount Eustis Rd
Littleton, NH 35613712

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ammonoosuc Community He7 organizations share this tax ID, including this one
Part of
Ammonoosuc Community He

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Heather Porter Individual Corporate DirectorBoard Member Oct 25, 2023
Austin Albro Individual Corporate DirectorBoard Member May 29, 2024
Edward Shanshala Individual Corporate OfficerCeo Dec 2, 2005
Corporate DirectorCeo Dec 2, 2005
W-2 Managing EmployeeCeo Dec 2, 2005
Operational/Managerial ControlCeo Dec 2, 2005
Kathryn Ryan Individual Corporate DirectorBoard Member Jul 1, 2021
Robert Chenevert Individual Corporate DirectorBoard Member Sep 24, 2025
Gary Merchant Individual Corporate DirectorBoard Member Sep 24, 2025
Gail Clark Individual Corporate DirectorChair Secretary Apr 24, 2024
Daniel Sherman Individual Corporate DirectorChair President May 29, 2024
James Shuchman Individual Corporate DirectorChair Treasurer Jul 1, 2021
Natalie Kennett Individual Corporate DirectorBoard Member Jul 1, 2023
Kathleen Plante Individual Corporate DirectorBoard Member Jul 30, 2025
Melissa M Buddensee Individual Corporate OfficerChief Medical Officer Apr 1, 2023
W-2 Managing EmployeeMD; Apr 1, 2023
Operational/Managerial ControlChief Medical Officer Apr 1, 2023
Emily Russell Individual Corporate DirectorChair Vice President Oct 25, 2023
Ranson Hudson Individual Corporate OfficerChief Financial Officer Oct 6, 2025
W-2 Managing EmployeeCfo Oct 6, 2025
Operational/Managerial ControlChief Financial Officer Oct 6, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1619196409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MOUNT EUSTIS RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613712",
            "telephone_number": "603-444-2464",
            "fax_number": "603-444-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOUNT EUSTIS RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613712",
            "telephone_number": "603-444-2464",
            "fax_number": "603-444-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.",
        "enumeration_date": "2007-04-24",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "SHANSHALA II",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "603-444-8223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "CG7632",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80301804",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ammonoosuc Community Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.