Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethphage Mission West

Organization Specialist · NPI 1649482639

Bethphage Mission West is a Specialist in Grants, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007

Practice location Address checks out

920 Lobo Canyon Rd Ste 5A
Grants, NM 87020-2173
Phone: (505) 287-9333
Fax: (505) 287-9336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NM)

Record details

NPI number1649482639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Wilson — Vp Accounting · (402) 896-3884
NPI enumeratedMay 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4980 S 118th St, Omaha, NE 68137-2220

Other providers in Grants