Mohawk Healthy Life Center - Oak River Sc

LBN: Evernorth Direct Health Llc
Mohawk Healthy Life Center - Oak River Sc is an health care organization with primary practice located at 2094 Marlboro Rd , Bennettsville SC 29512. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Evernorth Direct Health Llc can be contacted via phone (843) 528-3696, or through Heine, Kenny via phone (858) 964-1506.

Contact Information

Primary practice address
2094 Marlboro Rd Bennettsville SC 29512
Phone: (843) 528-3696
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 964-1506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X RN3361 South Carolina

Profile Details

NPI number 1730440769
LBN Legal business name Evernorth Direct Health Llc
DBA Doing business as Mohawk Healthy Life Center - Oak River Sc
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 6th, 2012
Last updated May 3rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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