OUTPATIENT CLINIC
NPI 1003930819
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grove City, PA

Q: What is George Junior Republic In Pennsylvania's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since March 19, 2007CLIA 39D0879550 · Waiver

233 GEORGE JUNIOR ROAD, GROVE CITY, PA 16127(724) 458-9330 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Outpatient Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTPATIENT CLINIC (NPI 1003930819) is a healthcare organization registered as a mental health (including community mental health center) in Grove City, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Nathan M. Gressel, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1003930819

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameGEORGE JUNIOR REPUBLIC IN PENNSYLVANIA

Location Address233 GEORGE JUNIOR ROADGrove City, PA 16127

Mailing AddressPo Box 1058, 233 George Junior RoadGrove City, PA 16127-5058 · (724) 458-9330 · Fax (724) 458-0389

Phone(724) 458-9330

Organization SubpartNo

Authorized OfficialNathan M. GresselChief Executive Officer · (724) 458-9330

Enumeration DateMarch 19, 2007

Last NPPES UpdateFebruary 27, 2023

NPPES CertifiedFebruary 27, 2023

✔ NPI 1003930819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in PA · 442300

233 GEORGE JUNIOR ROAD, Grove City, PA 16127

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Other Names 1

Other NameOutpatient Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0879550

George Junior Republic Infirmary · Grove City, PA

Active · expires Nov 21, 2027

CLIA Number39D0879550

Laboratory TypeSchool/Student Health Service

Certificate Effective DateNovember 22, 2025

Certificate Expiration DateNovember 21, 2027

Laboratory DirectorDr. Mark Demidovich

Laboratory Phone(724) 458-9330

Laboratory LocationGeorge Junior Republic Infirmary233 George Junior Rd, Grove City, PA 16127

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA