MOHAWK HEALTHY LIFE CENTER - OAK RIVER SC
NPI 1730440769
Non-Pharmacy Dispensing Site in Bennettsville, SC

Q: What is Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1730440769. It was assigned to this organization in the NPPES registry on June 6, 2012. The provider is doing business as Mohawk Healthy Life Center - Oak River Sc.

Q: What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since June 06, 2012

2094 MARLBORO RD, BENNETTSVILLE, SC 29512(843) 528-3696 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mohawk Healthy Life Center - Oak River Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAWK HEALTHY LIFE CENTER - OAK RIVER SC (NPI 1730440769) is a healthcare organization registered as a non-pharmacy dispensing site in Bennettsville, South Carolina and active in the NPI registry since June 2012. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1730440769

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameEVERNORTH DIRECT HEALTH LLC

Location Address2094 MARLBORO RDBennettsville, SC 29512

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(843) 528-3696

Organization SubpartYesParent: Medvantx Inc

Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506

Enumeration DateJune 6, 2012

Last NPPES UpdateMay 3, 2021

NPPES CertifiedMay 3, 2021

✔ NPI 1730440769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in SC · RN3361

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

2094 MARLBORO RD, Bennettsville, SC 29512

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Other Names 1

Doing Business AsMohawk Healthy Life Center - Oak River Sc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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 1730440769. It was assigned to this organization in the NPPES registry on June 6, 2012. The provider is doing business as Mohawk Healthy Life Center - Oak River Sc.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 2094 Marlboro Rd, Bennettsville, SC 29512. The listed phone number is (843) 528-3696.

What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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.