EVERNORTH DIRECT HEALTH LLC NPI 1831573534

NPI Information

  • NPI: 1831573534
  • Provider Name: EVERNORTH DIRECT HEALTH LLC
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Doing Business As: MOHAWK HEALTHY LIFE CENTER-DANVILLE
  • Address: 121 MAXINE RD
    DANVILLE, VA
    ZIP 24541
  • Phone: (434) 799-5761

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NPI Details

EVERNORTH DIRECT HEALTH LLC is a non pharmacy dispensing site in Danville, VA. The provider is 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.) EVERNORTH DIRECT HEALTH LLC NPI is 1831573534. The provider is registered as an organization entity type.
The provider Is Doing Business As Mohawk Healthy Life Center-danville.

The provider's business location address is:

121 MAXINE RD
DANVILLE, VA
ZIP 24541-411
Phone: (434) 799-5761

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-2528.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 5/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing Site0024172488VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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