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BETHPHAGE MISSION WEST
NPI 1649482639
Specialist in Grants, NM

Active since May 04, 2007
920 LOBO CANYON RD, SUITE 5A, GRANTS, NM 87020(505) 287-9333(505) 287-9336 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bethphage Mission West NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHPHAGE MISSION WEST (NPI 1649482639) is a healthcare organization registered as a specialist in Grants, New Mexico and active in the NPI registry since May 2007. The organization lists Dean Wilson, Vp Accounting, as its authorized official.

NPPES Registry Identity

NPI1649482639
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBETHPHAGE MISSION WEST
Location Address920 LOBO CANYON RD, SUITE 5AGrants, NM 87020-2173
Mailing Address4980 S 118th StOmaha, NE 68137-2220 · (402) 896-3884 · Fax (402) 894-4780
Phone(505) 287-9333
Fax(505) 287-9336
Organization SubpartNo
Authorized OfficialDean WilsonVp Accounting · (402) 896-3884
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649482639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

920 LOBO CANYON RD, Grants, NM 87020
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Other Identifiers 1

MedicaidD0103NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNDANCE DENTAL CARE OF GRANTS
Dentist (General Practice)
920 LOBO CANYON RD
GRANTS, NM 87020
Cibola County (505) 722-4422
BETHPHAGE
Community/Behavioral Health
920 LOBO CANYON RD, SUITE 5A
GRANTS, NM 87020
Cibola County (505) 287-9333
920 LOBO CANYON GRANTS PROFESSIONAL, LLC
Dentist (General Practice)
920 LOBO CANYON RD
GRANTS, NM 87020
Cibola County (505) 722-4422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethphage Mission West's NPI number?

The NPI number for Bethphage Mission West is 1649482639. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Bethphage Mission West located?

Bethphage Mission West is located at 920 Lobo Canyon Rd Suite 5A, Grants, NM 87020. The listed phone number is (505) 287-9333.

What is Bethphage Mission West's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bethphage Mission West was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.