| Affinity Health Center Clover | |
|
300 Clinton Ave Clover SC 29710-1627 | |
| (803) 909-6363 | |
| Not Available |
| Full Name | Affinity Health Center Clover |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Clinton Ave, Clover, South Carolina |
| Authorized Official Name and Position | Anita M Case (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8039099710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Health Center Clover 455 Lakeshore Pkwy Rock Hill SC 29730-4205 Ph: () - | Affinity Health Center Clover 300 Clinton Ave Clover SC 29710-1627 Ph: (803) 909-6363 |
| NPI Number | 1073986394 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 09/23/2020 |
| Medicare PECOS PAC ID | 9638101272 |
|---|---|
| Medicare Enrollment ID | O20160211002588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073986394 | NPI | - | NPPES |
| FQC190 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 42-1035 (South Carolina) | Primary |
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