Provider Demographics
NPI:1790822898
Name:TURNER HOUSE CLINIC, INC.
Entity Type:Organization
Organization Name:TURNER HOUSE CLINIC, INC.
Other - Org Name:TURNER HOUSE CHILDREN'S CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:913-342-2552
Mailing Address - Street 1:21 N. 12TH STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102
Mailing Address - Country:US
Mailing Address - Phone:913-342-2552
Mailing Address - Fax:913-428-8999
Practice Address - Street 1:21 N. 12TH STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102
Practice Address - Country:US
Practice Address - Phone:913-342-2552
Practice Address - Fax:913-428-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100214720AMedicaid