NPIMap

Organization Active NPI

Affinity Health Center

Doing business as Affinity Health Center- York

  • Federally Qualified Health Center (FQHC)
  • York, SC
National Provider Identifier
1124759956
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- York
Practice address
1010 Devinney Rd
York, SC 29745-2127
Phone
(803) 909-6363
Fax
(803) 909-6364
NPI assigned
Jun 22, 2022
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
Chief Executive Officer
Phone
(803) 909-9720

Specialties & licenses 1

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

Addresses

Primary practice location

1010 Devinney Rd
York, SC 29745-2127

Mailing address

455 Lakeshore Pkwy
Rock Hill, SC 29730-4205
Phone (803) 909-6363

Other names 1

  • Affinity Health Center- York Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026003100 SC Part A Provider - Federally Qualified Health Center (FQHC) 9638101272 Practice locations: York, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124759956. Details of each certification follow.

Federally qualified health center certification: CCN 871042

Legal name
AFFINITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 26, 2022
Last certification
Oct 26, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 29, 2022 in SC
Enrollment address
1010 Devinney Rd
York, SC 29745-2127

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Affinity Health Center3 organizations share this tax ID, including this one
Part of
Affinity Health Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Clinton Ave
Clover, SC 29710
Phone (803) 810-8400

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Anita Case Individual Corporate DirectorChief Executive Officer Sep 19, 2005
W-2 Managing EmployeeChief Executive Officer Sep 1, 2005 100%

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 10

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": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1124759956",
    "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",
            "telephone_number": "803-909-6363",
            "fax_number": "803-909-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DEVINNEY RD",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297452127",
            "telephone_number": "803-909-6363",
            "fax_number": "803-909-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFINITY HEALTH CENTER",
        "enumeration_date": "2022-06-22",
        "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": "CHIEF EXECUTIVE OFFICER",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Health Center- York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, SC

Sources for this page

Verify at the official NPI Registry.