ROANOKE HEALTHY LIFE CENTER- MOHAWK
NPI 1477983278
Non-Pharmacy Dispensing Site in Roanoke, AL
About Roanoke Healthy Life Center- Mohawk NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROANOKE HEALTHY LIFE CENTER- MOHAWK (NPI 1477983278) is a healthcare organization registered as a non-pharmacy dispensing site in Roanoke, Alabama and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Kenny Heine, Vp Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 01D2070764
Evernorth Direct Health, LLC Mohawk Roanoke · Roanoke, ALOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Evernorth Direct Health LLC's NPI number?
The NPI number for Evernorth Direct Health LLC is 1477983278. It was assigned to this organization in the NPPES registry on November 15, 2013. The provider is doing business as Roanoke Healthy Life Center- Mohawk.
Where is Evernorth Direct Health LLC located?
Evernorth Direct Health LLC is located at 1026 Lafayette Hwy, Roanoke, AL 36274. The listed phone number is (334) 863-7410.
What is Evernorth Direct Health LLC's specialty?
The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
Does Evernorth Direct Health LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2070764) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Evernorth Direct Health LLC accept?
Health plans from Sanford Health Plan list Evernorth Direct Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Evernorth Direct Health LLC was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Roanoke Healthy Life Center- Mohawk · NPI 1477983278
Non-Pharmacy Dispensing Site organization in Roanoke, Alabama. Organization record, active in the CMS NPPES registry since November 15, 2013.
## Identity
- **NPI:** 1477983278 (Entity type: Organization)
- **Enumerated:** November 15, 2013
- **Primary specialty:** Non-Pharmacy Dispensing Site · taxonomy 332900000X
- **Legal business name:** Evernorth Direct Health Llc
- **Organization subpart:** Yes (part of Medvantx, Inc.)
- **Authorized official:** Kenny Heine, VP OF OPERATIONS
## Practice location
- **Address:** 1026 LAFAYETTE HWY, Roanoke, AL 36274-7250
- **Phone:** (334) 863-7410
## Record status
- **NPPES last updated:** May 3, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477983278) · Data from the CMS NPPES public registry.