Provider Demographics
NPI:1164121323
Name:TURNER HOUSE CLINIC INC
Entity Type:Organization
Organization Name:TURNER HOUSE CLINIC INC
Other - Org Name:VIBRANT HEALTH - FAMILY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SALLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-320-2670
Mailing Address - Street 1:21 N 12TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-5105
Mailing Address - Country:US
Mailing Address - Phone:913-342-2552
Mailing Address - Fax:
Practice Address - Street 1:340 SOUTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2150
Practice Address - Country:US
Practice Address - Phone:913-320-0505
Practice Address - Fax:913-273-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy