OrganizationActive
Bethphage Mission West
NPI 1649482639 · Specialist · Grants, NM
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
Practice location
920 Lobo Canyon Rd
Suite 5a
Grants, NM 87020-2173
Phone: (505) 287-9333
Fax: (505) 287-9336
Approximate (ZIP-level) locationGet directions
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 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.