MEDICARE: ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07148	OTHER	NE	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760541288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC

Provider Business Mailing Address
First Line	:	3606 N 156TH ST
Second Line	:	SUITE 104
City	:	OMAHA
State	:	NE
Zip	:	68116-2158
Country	:	US
Telephone Number	:	402-717-1177
Fax Number	:	402-717-1175

Provider Business Practice Location Address
First Line	:	3606 N 156TH ST
Second Line	:	SUITE 102-105
City	:	OMAHA
State	:	NE
Zip	:	68116-2158
Country	:	US
Telephone Number	:	402-717-1177
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. RICHARD A HACHTEN II
Credential	:
Telephone Number	:	402-343-4420

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/09/2008

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1861646937 — JORDAN FREDERICK KEITH O.D.
Practice Location Address:

3606 N 156TH ST
OMAHA, NE
68116-2158

Practice Phone: 402-205-0754
Practice Fax:

1447101068 — HTEE THA BWE PAW
Practice Location Address:

7641 NEBRASKA AVE
OMAHA, NE
68134-2158

Practice Phone: 806-340-2703
Practice Fax:

1245047240 — LISA MICHELLE NIELSEN
Practice Location Address:

15966 HOWARD ST
OMAHA, NE
68118-2158

Practice Phone: 402-305-4687
Practice Fax:

1760272348 — BISHNU M RAI
Practice Location Address:

2819 N 19TH AVE
OMAHA, NE
68110-2158

Practice Phone: 402-541-2316
Practice Fax:

1134016363 — DEANNE COOPER
Practice Location Address:

2820 N 19TH AVE
OMAHA, NE
68110-2158

Practice Phone: 402-203-6418
Practice Fax:

Directions to “ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.