1386220176 NPI number — TURNER HOUSE CLINIC INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386220176 NPI number — TURNER HOUSE CLINIC INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TURNER HOUSE CLINIC INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386220176
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21 N 12TH ST STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66102-5105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-342-2552
Provider Business Mailing Address Fax Number:
913-342-3220

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4313 STATE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66102-3734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-233-4452
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SALLEE
Authorized Official First Name:
PATRICK
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
913-320-2607

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)