Affinity Health Center Fort Mill
LBN: Affinity Health Center
Affinity Health Center Fort Mill is an health care organization with primary practice located at 120 Elliott St E , Fort Mill SC 29715-1848. 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
120 Elliott St E
Fort Mill SC 29715-1848
Phone: (803) 909-6363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 42-1036 | South Carolina |
Profile Details
| NPI number | 1639542699 |
|---|---|
| LBN Legal business name | Affinity Health Center |
| DBA Doing business as | Affinity Health Center Fort Mill |
| Authorized official | Case, Anita M LMSW |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639542699 | NPPES |
| South Carolina | MEDICAID | FQC193 |
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