OrganizationActive
Northshore Interventional Pain Management
NPI 1144734153 · Non-Pharmacy Dispensing Site · Covington, LA
Provider details
- NPI number
- 1144734153
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Mackenzie Hahn, Ncpdp Coordinator(479) 636-9702
- License
- MD.020506 (LA)
Specialties & taxonomies
Suppliers
Practice location
7015 Hwy 190 E Service Rd.
Ste 101
Covington, LA 70433
Phone: (479) 636-9702
Fax: (877) 427-2307
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3328
Bentonville, AR 72712
Other names (DBA / former)
- Doing business as
- Premier Pain Center
Registry dates
- Enumerated
- 2017-11-29
- Last updated
- 2017-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.