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

NPI Status: Active since June 06, 2012

Contact Information

2094 MARLBORO RD
BENNETTSVILLE, SC
ZIP 29512
Phone: (843) 528-3696

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  • Organization
  • Non-Pharmacy Dispensing Site
  • Accepts Insurance

About MOHAWK HEALTHY LIFE CENTER - OAK RIVER SC

This page provides the complete NPI Profile along with additional information for Mohawk Healthy Life Center - Oak River Sc, a provider established in Bennettsville, South Carolina operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1730440769 assigned on June 2012. The practitioner's primary taxonomy code is 332900000X with license number RN3361 (SC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Mohawk Healthy Life Center - Oak River Sc. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1730440769
Provider Legal Name
EVERNORTH DIRECT HEALTH LLC
Other Organization Name
MOHAWK HEALTHY LIFE CENTER - OAK RIVER SC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2094 MARLBORO RD BENNETTSVILLE, SC 29512
Location Phone
(843) 528-3696
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-06-2012
Last Update Date
05-03-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
RN3361
License State
SC
Taxonomy Description
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.)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 964-1506

Reviews for MOHAWK HEALTHY LIFE CENTER - OAK RIVER SC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730440769, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 8 + 4 + 0 + 7 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1730440769.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730440769, enumerated as an "organization" on June 06, 2012.

The provider is located at 2094 MARLBORO RD BENNETTSVILLE, SC 29512 and the phone number is (843) 528-3696.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.