Organization
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
Active
Other names
NORTHWEST IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A HACHTEN II (MANAGER)
(402) 343-4420
Entity
Organization
Contact information
Practice address
3606 N 156TH ST, SUITE 102-105, OMAHA, NE 68116-2158
(402) 717-1177
Mailing address
3606 N 156TH ST, SUITE 104, OMAHA, NE 68116-2158
(402) 717-1177
(402) 717-1175
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07148
BCBS
NE
05
—
10025463800
—
NE
Enumeration date
12/08/2006
Last updated
07/09/2008
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