GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA – NPI #1003930819
Clinic/Center

GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA is an AHC clinic located in GROVE CITY, PA. NPPES has assigned the NPI number 1003930819 to GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA on March 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA is also known by the name OUTPATIENT CLINIC. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 3 years ago on Feb 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA below.

NPI Profile for
GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA

NPI Number
1003930819
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA
Other Name: OUTPATIENT CLINIC
Website
https://gjr.org - George Junior Republic
Primary location
233 GEORGE JUNIOR ROAD
GROVE CITY, PA 16127
Phone: (724) 458-9330 Fax:
Mailing address
PO BOX 1058
233 GEORGE JUNIOR ROAD
GROVE CITY, PA 16127-5058
Phone: (724) 458-9330 Fax: (724) 458-0389
Organization Subpart
No
Authorized Official
NATHAN GRESSEL
CHIEF EXECUTIVE OFFICER
Phone: (724) 458-9330
Updated
Certification Date
Feb 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)		 PA 442300

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.