NPIMap

Organization Active NPI

Southwestern Virginia Mental Health Institute

  • Clinical Medical Laboratory
  • Marion, VA
National Provider Identifier
1124082417
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLIA49D0232526
Legal business name
SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE
Practice address
340 Bagley Circle
Marion, VA 24354-3102
Phone
(276) 783-1200
Fax
(276) 783-1242
NPI assigned
Apr 13, 2006
Reactivated
Nov 18, 2014
Organization subpart
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0232526Southwestern Virginia Mental Health Institute340 Bagley Circle, Marion, VA 24354AccreditationFeb 27, 2027
49D2101767Southwestern Virginia Mental Health Institute340 Bagley Circle, Marion, VA 24354Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia McClure, PHD
Title
Facility Director
Phone
(276) 783-1201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Clinical Medical Laboratory 291U00000X CLIA49D0232526 Primary

Addresses

Primary practice location

340 Bagley Circle
Marion, VA 24354-3102

Mailing address

340 Bagley Circle
Marion, VA 24354-3102
Phone (276) 783-1200

Other identifiers 1

IdentifierTypeStateIssuer
004901053MedicaidVA

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124082417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIRCLE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543102",
            "telephone_number": "276-783-1200",
            "fax_number": "276-783-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIRCLE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543102",
            "telephone_number": "276-783-1200",
            "fax_number": "276-783-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-09-11",
        "deactivation_date": "2014-07-07",
        "reactivation_date": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "276-783-1201",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "CLIA49D0232526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004901053",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.