OrganizationActive
Bethphage Mission West
NPI 1649482639 · Specialist · Grants, NM
Bethphage Mission West is a Specialist organization in Grants, NM (NPI 1649482639).
Provider details
- NPI number
- 1649482639
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Dean Wilson, Vp Accounting(402) 896-3884
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
920 Lobo Canyon Rd
Suite 5a
Grants, NM 87020-2173
Phone: (505) 287-9333
Fax: (505) 287-9336
Street-level locationGet directions
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Bethphage Mission West's NPI number?
- Bethphage Mission West's National Provider Identifier (NPI) is 1649482639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bethphage Mission West?
- Bethphage Mission West is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Bethphage Mission West located?
- Bethphage Mission West's practice location on file with NPPES is 920 Lobo Canyon Rd, Grants, NM 87020-2173.
- What is Bethphage Mission West's phone number?
- The practice phone number listed in the NPPES registry for Bethphage Mission West is (505) 287-9333.
- Who is the authorized official for Bethphage Mission West?
- The authorized official listed on Bethphage Mission West's NPPES record is Dean Wilson, Vp Accounting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bethphage Mission West's NPI active?
- Yes — Bethphage Mission West's NPI (1649482639) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.