Affinity Health Center Clover

LBN: Affinity Health Center
Affinity Health Center Clover is an health care organization with primary practice located at 300 Clinton Ave , Clover SC 29710-1627. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Affinity Health Center can be contacted via phone (803) 909-6363, or through Case, Anita M via phone (803) 909-9710.

Contact Information

Primary practice address
300 Clinton Ave Clover SC 29710-1627
Phone: (803) 909-6363
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Case, Anita M LMSW
Phone: (803) 909-9710

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 42-1035 South Carolina

Profile Details

NPI number 1073986394
LBN Legal business name Affinity Health Center
DBA Doing business as Affinity Health Center Clover
Authorized official Case, Anita M LMSW
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 9th, 2015
Last updated Sep 23rd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073986394 NPPES
South Carolina MEDICAID FQC190

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