NPIMap

Organization Active NPI

George Junior Republic in PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grove City, PA
National Provider Identifier
1740591163
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
442300 Issued in PA
Legal business name
GEORGE JUNIOR REPUBLIC IN PA
Practice address
233 George Junior Rd
Grove City, PA 16127-4417
Phone
(724) 458-9330
Fax
(724) 458-0389
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Mr. Richard L. Losasso, MSW
Title
Chief Executive Officer
Phone
(724) 458-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 442300 PA Primary

Addresses

Primary practice location

233 George Junior Rd
Grove City, PA 16127-4417

Mailing address

233 George Junior Rd
Grove City, PA 16127-4417
Phone (724) 458-9330

Other identifiers 1

IdentifierTypeStateIssuer
442300OtherPACOMMONWEALTH OF PENNSYLVANIA - OMHSAS

National Provider Directory

National Provider Directory
Tax ID family
George Junior Republic in Pennsylvania58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1740591163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GEORGE JUNIOR RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274417",
            "telephone_number": "724-458-9330",
            "fax_number": "724-458-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GEORGE JUNIOR RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274417",
            "telephone_number": "724-458-9330",
            "fax_number": "724-458-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE JUNIOR REPUBLIC IN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "LOSASSO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-458-9330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "442300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA - OMHSAS",
            "identifier": "442300",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.