Provider Demographics
NPI:1417547530
Name:TURNER HOUSE CLINIC INC
Entity Type:Organization
Organization Name:TURNER HOUSE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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:913-342-2552
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 1:4313 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-3734
Practice Address - Country:US
Practice Address - Phone:913-342-2552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)