Bethphage Mission West
Bethphage Mission West is a healthcare organization registered as Specialist in Grants, NM, holding Type 2 (organization) NPI 1649482639 since 2007. The authorized official on file is Dean Wilson, Vp Accounting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649482639 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bethphage Mission West |
| Practice address | 920 LOBO CANYON RD, SUITE 5A, Grants, NM, 87020 |
| Phone | 5052879333 |
| Fax | 5052879336 |
| Enumeration date | 2007-05-04 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Dean Wilson |
|---|---|
| Title | Vp Accounting |
| Phone | 4028963884 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | — | NM |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0103 | Medicaid | NM | — |
Copy-ready billing details
Provider: Bethphage Mission West NPI: 1649482639 Taxonomy: 174400000X (Specialist) Address: 920 LOBO CANYON RD, SUITE 5A, Grants, NM, 87020
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538371521 | Bethphage | Organization | Community/Behavioral Health Agency | Grants, NM |
| 1467818518 | Sundance Dental Care of Grants | Organization | General Practice Dentistry | Grants, NM |
| 1477218964 | 920 Lobo Canyon Grants Professional, LLC | Organization | General Practice Dentistry | Grants, NM |
Verify this record
Cross-check NPI 1649482639 against the authoritative CMS record: view Bethphage Mission West on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Bethphage Mission West?
What is the NPI number for Bethphage Mission West?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.