NPIMap

Organization Active NPI

Affinity Health Center

Doing business as Affinity Health Center- Clover

  • Federally Qualified Health Center (FQHC)
  • Clover, SC
National Provider Identifier
1073986394
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AFFINITY HEALTH CENTER
Doing business as
Affinity Health Center- Clover
Practice address
300 Clinton Ave
Clover, SC 29710-1627
Phone
(803) 909-6363
NPI assigned
Nov 9, 2015
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFINITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Mrs. Heather McCutcheon
Title
Ceo
Phone
(803) 909-9720

Specialties & licenses 1

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

Addresses

Primary practice location

300 Clinton Ave
Clover, SC 29710-1627

Mailing address

455 Lakeshore Pkwy
Rock Hill, SC 29730-4205

Other identifiers 1

IdentifierTypeStateIssuer
FQC190MedicaidSC

Other names 1

  • Affinity Health Center- Clover Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@affinityhealthcenter.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050906000190 SC Part B Supplier - Clinic/Group Practice 9638101272 Receives reassigned benefits from 24 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rock Hill, SC
O20160211002588 SC Part A Provider - Federally Qualified Health Center (FQHC) 9638101272 Practice locations: Clover, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073986394. Details of each certification follow.

Federally qualified health center certification: CCN 421035

Legal name
AFFINITY HEALTH CENTER
Doing business as
CATAWBA CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 25, 2016
Last certification
Mar 25, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 29, 2000 in SC
Enrollment address
300 Clinton Ave
Clover, SC 29710-1627

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Affinity Health Center

Locations

37 Pinckney St
York, SC 29745
Phone (803) 909-6363

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Cong Wang Individual Corporate OfficerBoard Member Jan 1, 2014
Anita Case Individual Corporate DirectorExecutive Director Jan 1, 2014
W-2 Managing EmployeeExecutive Director Jan 1, 2014
Jennifer McDaniel Individual Corporate OfficerBoard Member Jan 1, 2013
Suzanne Wright Individual Corporate OfficerBoard Member Jan 1, 2013

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 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1073986394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLINTON AVE",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101627",
            "telephone_number": "803-909-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFINITY HEALTH CENTER",
        "enumeration_date": "2015-11-09",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHEON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-909-9720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC190",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@affinityhealthcenter.org",
            "affiliation": "N",
            "address_1": "300 Clinton Ave",
            "city": "Clover",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297101627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Affinity Health Center- Clover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clover, SC

Sources for this page

Verify at the official NPI Registry.