AFFINITY HEALTH CENTER (NPI# 1073986394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073986394 |
| Entity Type | Organization |
| Organization Name | AFFINITY HEALTH CENTER |
| Other Organization Name | AFFINITY HEALTH CENTER CLOVER |
| Practice Address |
300 Clinton Ave Clover SC 29710-1627 |
| Mailing Address |
455 Lakeshore Pkwy Rock Hill SC 29730-4205 |
| Practice Telephone | 8039096363 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | ANITA M CASE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8039099710 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | Y |
| Parent Organization Name | AFFINITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
42-1035 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC190 | 05 |
| Other Name | Type Code |
|---|---|
| Affinity Health Center Clover | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124491188 | Affinity Health Center | Family Medicine | 37 Pinckney St, York, SC 29745-1731 | 2015-11-12 |
| 1639542699 | Affinity Health Center | Family Medicine | 120 Elliott St E, Fort Mill, SC 29715-1848 | 2015-11-12 |
| 1932690989 | Affinity Health Center | Dentist | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2018-05-25 |
| 1629443148 | Affinity Health Center | Clinic/Center | 410 E Black St, Rock Hill, SC 29730-5342 | 2015-12-09 |
| 1396881066 | Affinity Health Center | Clinic/Center | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2007-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | AFFINITY HEALTH CENTER AT BELDEN VILLAGE | 4000 Meridian Blvd, Franklin, TN 37067 |
| Street Address |
300 CLINTON AVE |
| City | CLOVER |
| State | SC |
| Zip Code | 29710-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134467624 | Courtney Shermane Jones | Social Worker | 300 Clinton Ave, Clover, SC 29710-1627 | 2013-01-18 |
| 1447676101 | Hali Porter | Speech-Language Pathologist | 300 Clinton Ave, Clover, SC 29710-1627 | 2014-03-05 |
| 1427473115 | Brantlee Jackson Spurrier | Social Worker | 300 Clinton Ave, Clover, SC 29710-1627 | 2014-03-04 |
| 1285074179 | Raquel S Avore | Registered Nurse | 300 Clinton Ave, Clover, SC 29710-1627 | 2013-06-25 |
| 1154660900 | Marcia Dickson | Social Worker | 300 Clinton Ave, Clover, SC 29710-1627 | 2013-02-13 |
| 1427396282 | Sue Owen Gover | Psychologist | 300 Clinton Ave, Clover, SC 29710-1627 | 2013-01-29 |
| 1811235815 | Eileen Masterson | Speech-Language Pathologist | 300 Clinton Ave, Clover, SC 29710-1627 | 2013-01-25 |
| 1316285307 | Nicol Goodale | Speech-Language Pathologist | 300 Clinton Ave, Clover, SC 29710-1627 | 2013-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728243 | Jessica Pampalone | Pharmacist | 175 Sc-274, Lake Wylie, SC 29710 | 2018-08-02 |
| 1932628344 | Andrew Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 106 Mccall Street, Clover, SC 29710 | 2017-09-18 |
| 1619423449 | Dental Professionals of South Carolina, P.C. | Dentist | 209 Latitude Lane, Clover, SC 29710 | 2016-08-31 |
| 1932538816 | Tara Mehta | Psychologist | 48 Fairway Rdg, Clover, SC 29710 | 2013-11-01 |
| 1710238795 | Hong N Mitchell | Pharmacist | 158 Hwy. 274, Lake Wylie, SC 29710 | 2012-10-01 |
| 1790948602 | Barbara Ellen Anslow-myers | Speech-Language Pathologist | 530 Little Cove Lane, Lake Wylie, SC 29710 | 2008-07-10 |
| 1720200884 | Lake Wylie | Assisted Living Facility | 4877 Charlotte Highway, Lake Wylie, SC 29710 | 2007-05-02 |
| 1790804581 | Phillip Russell Sanford | Pharmacist | 3272 Wicklow Ln, Clover, SC 29710 | 2007-03-29 |
| 1124158472 | Thomas N Stall Sr. | Dentist | 1100 Village Harbor Dr., Lake Wylie, SC 29710 | 2007-03-06 |
| 1043369457 | John Frank Ruocco | Dentist | 140 Highway 274, Clover, SC 29710 | 2007-01-09 |
| Find all providers in zip 29710 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
| 1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
| 1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
| 1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
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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.