SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE (NPI# 1124082417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124082417 |
Entity Type | Organization |
Organization Name | SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE |
Practice Address |
340 Bagley Circle Marion VA 24354-3102 |
Practice Telephone | 2767831200 |
Practice Fax Number | 2767831242 |
Mailing Telephone | 2767831200 |
Mailing Fax Number | 2767831242 |
Enumeration Date | 2006-04-13 |
Last Update Date | 2020-08-22 |
NPI Deactivation Date | 07/07/2014 |
NPI Reactivation Date | 2014-11-18 |
Authorized Official Name | CYNTHIA MCCLURE (FACILITY DIRECTOR) |
Authorized Official Telephone | 2767831201 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 282N00000X | General Acute Care Hospital | Hospitals | ||
X | 291U00000X | Clinical Medical Laboratory | CLIA49D0232526 | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 004901053 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144283094 | Southwestern Virginia Mental Health Institute | Pharmacy | 340 Balgey Circle, Marion, VA 24354-3102 | 2006-04-11 |
1902274681 | Southwestern Virginia Mental Health Institute | Psychiatric Unit | 340 Bagley Cir, Marion, VA 24354-3126 | 2015-09-11 |
1851478879 | Southwestern Virginia Mental Health Institute | Psychiatric Hospital | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-11-01 |
1033173323 | Southwestern Virginia Mental Health Institute | Nursing Facility/Intermediate Care Facility | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-04-13 |
1851355275 | Southwestern Virginia Mental Health Institute | Psychiatric Hospital | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-04-13 |
1043274475 | Southwestern Virginia Mental Health Institute | Psychiatric Hospital | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-04-13 |
Street Address |
340 BAGLEY CIRCLE |
City | MARION |
State | VA |
Zip Code | 24354-3102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851478879 | Southwestern Virginia Mental Health Institute | Psychiatric Hospital | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-11-01 |
1841242526 | Jamie Deresa Hall | Nurse Practitioner | 340 Bagley Circle, Southwestern Virginia Mental Health Institute, Marion, VA 24354-9998 | 2006-05-17 |
1225088859 | Jeffrey Gordon | Psychiatry & Neurology | 340 Bagley Circle, Marion, VA 24354 | 2006-05-12 |
1912964347 | Southwestern Va Mental Health Institute | Hospitalist | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-04-28 |
1033173323 | Southwestern Virginia Mental Health Institute | Nursing Facility/Intermediate Care Facility | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-04-13 |
1851355275 | Southwestern Virginia Mental Health Institute | Psychiatric Hospital | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-04-13 |
1043274475 | Southwestern Virginia Mental Health Institute | Psychiatric Hospital | 340 Bagley Circle, Marion, VA 24354-3102 | 2006-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
Find all providers in zip 24354 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548640717 | Smyth County Community Hospital | General Acute Care Hospital | 1 Health Way, Marion, VA 24354-4225 | 2015-06-03 |
1215935366 | Marion General Hospital, Inc. | General Acute Care Hospital | 1000 Mckinley Park Dr, Marion, OH 43302-6399 | 2005-07-12 |
1699772657 | The Mcdowell Hospital Inc | General Acute Care Hospital | 430 Rankin Dr, Marion, NC 28752-6568 | 2005-07-06 |
1073519377 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2005-06-22 |
1053885392 | Crittenden Community Hospital LLC | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-21 |
1225513948 | Mh Mission Hospital Mcdowell, Lllp | General Acute Care Hospital | 430 Rankin Dr, Marion, NC 28752-6568 | 2018-09-27 |
1194104687 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-05-29 |
1720367154 | Marion Va Medical Center | General Acute Care Hospital | 2401 W Main St, Marion, IL 62959-1188 | 2011-08-16 |
1679871677 | Crittenden Health Systems | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064-1516 | 2011-03-01 |
1962527945 | Mcdowell Hospital | General Acute Care Hospital | 430 Rankin Dr, Marion, NC 28752-6568 | 2007-03-20 |
Find all providers in MARION |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.