Healthcare Provider Details

I. General information

NPI: 1609380401
Provider Name (Legal Business Name): TURNER HOUSE CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2017
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 N 12TH ST STE 300
KANSAS CITY KS
66102-5105
US

IV. Provider business mailing address

21 N 12TH ST STE 300
KANSAS CITY KS
66102-5105
US

V. Phone/Fax

Practice location:
  • Phone: 913-342-2552
  • Fax:
Mailing address:
  • Phone: 913-342-2552
  • Fax: 913-342-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: PATRICK SALLEE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 913-342-2552