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CHC28972-03 AFFINITY HEALTH CENTER (Terminated)
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Main Details
Name
AFFINITY HEALTH CENTER
Subdivision Name
Catawba Care Fort Mill Site
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015685
340B ID
CHC28972-03
Grant Number
H80CS28972
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/22/2015
Last Recertification Date
2/23/2021
Termination Date
Termination Reason
1/1/2022
Site closure
Contacts
Authorizing Official
Affinity Health Center
Anita Case, Executive Director
(803) 909-9710
Primary Contact
Affinity Health Center
Bryan Martin, Chief Financial Officer
(803) 909-9718
Addresses
Street Address
120 ELLIOTT ST E
FORT MILL, SC 29715-1848
Billing Address
Affinity Health Center
455 Lakeshore Parkway
Rock Hill, SC 29730
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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