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MOHAWK HEALTHY LIFE CENTER-DANVILLE
NPI 1831573534
Non-Pharmacy Dispensing Site in Danville, VA

Active since July 13, 2015
121 MAXINE RD, DANVILLE, VA 24541(434) 799-5761 Get Directions Write a Review

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

Record update history: May 3, 2021, Jul 14, 2016 (2 updates tracked since 2016).

About Mohawk Healthy Life Center-danville NPPES

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

MOHAWK HEALTHY LIFE CENTER-DANVILLE (NPI 1831573534) is a healthcare organization registered as a non-pharmacy dispensing site in Danville, Virginia and active in the NPI registry since July 2015. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1831573534
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address121 MAXINE RDDanville, VA 24541-6411
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Phone(434) 799-5761
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-2528
Enumeration DateJuly 13, 2015
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1831573534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in VA · 0024172488
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.)
121 MAXINE RD, Danville, VA 24541
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Other Names 1

Doing Business AsMohawk Healthy Life Center-danville

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 1831573534. It was assigned to this organization in the NPPES registry on July 13, 2015. The provider is doing business as Mohawk Healthy Life Center-Danville.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 121 Maxine Rd, Danville, VA 24541. The listed phone number is (434) 799-5761.

What is Evernorth Direct Health LLC's specialty?

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

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.