NPIMap

Organization Active NPI

Turner House Clinic Inc

Doing business as Vibrant Health - #310

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
National Provider Identifier
1548074917
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TURNER HOUSE CLINIC INC
Doing business as
Vibrant Health - #310
Practice address
21 N 12TH St Ste 310
Kansas City, KS 66102-5172
Phone
(913) 342-2552
Fax
(913) 342-3220
NPI assigned
Feb 5, 2025
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patrick Sallee
Title
Ceo
Phone
(913) 342-2552

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

21 N 12TH St Ste 310
Kansas City, KS 66102-5172

Mailing address

21 N 12TH St Ste 300
Kansas City, KS 66102-5105
Phone (913) 342-2552

Other names 1

  • Vibrant Health - #310 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250401002461 KS Part A Provider - Federally Qualified Health Center (FQHC) 9739447921 Practice locations: Kansas City, KS
O20250812001752 KS Part B Supplier - Clinic/Group Practice 9739447921 Receives reassigned benefits from 14 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kansas City, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548074917. Details of each certification follow.

Federally qualified health center certification: CCN 171040

Legal name
TURNER HOUSE CLINIC INC
Doing business as
VIBRANT HEALTH - SUITE 310
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 28, 2025
Last certification
Mar 28, 2025
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
21 N 12TH St
Ste 310
Kansas City, KS 66102-5172

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Turner House Clinic Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

21 N 12th St
Ste 310
Kansas City, KS 66102

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deryl Wynn Individual Corporate OfficerBoard of Director Jan 1, 2023
Tracy Lynn Lockton Individual Corporate OfficerBoard of Director Jan 1, 2022
Patrick Sallee Individual Corporate OfficerPresident and Ceo Jan 1, 2018
W-2 Managing EmployeeAd; Jan 1, 2018
Cynthia a. Finter Individual Corporate OfficerBoard of Director Jan 1, 2023

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vibrant HealthKansas City, KS, CCN 171877 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2018
Vibrant Health - Children's CampusKansas City, KS, CCN 171881 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2018
Vibrant Health - Argentine MsKansas City, KS, CCN 171884 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 26, 2018
Aug 26, 2018
Vibrant Health - Wyandotte HSKansas City, KS, CCN 171894 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 3, 2019
Mar 3, 2019
Vibrant Health - Cordell MeeksKansas City, KS, CCN 171899 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 4, 2021
Apr 4, 2021
Vibrant Health - Suite 200Kansas City, KS, CCN 171898 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 4, 2021
Vibrant Health - Oak GroveKansas City, KS, CCN 171901 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 24, 2021
Jun 24, 2021
Vibrant Health - DentalKansas City, KS, CCN 171904 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 2021
Sep 1, 2021
Vibrant Health - Ste 110Kansas City, KS, CCN 171912 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Vibrant Health - Washington HSKansas City, KS, CCN 171913 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Turner House Clinic Inc

    dba Vibrant Health - Oak Grove Elementary School

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1164096301

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Wyandotte Community Health Center - Wyandotte High School

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1235794710

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - Central, #200

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1285226357

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Turner House Clinic Inc
    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1285369355

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Turner House Clinic Inc

    dba Wyandotte Community Health Center - CCKC

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1386158335

    Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - Cordell D. Meeks, Jr. Clinic

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1417547530

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - STE 110

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1558029942

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1609380401

    Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - Wyandotte Neighborhood Clinics

    • Federally Qualified Health Center (FQHC)
    • Kansas City, KS
    • NPI 1730669664

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Turner House Clinic Inc

    dba Vibrant Health - Dental

    • Dental Clinic/Center
    • Kansas City, KS
    • NPI 1780256891

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1548074917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 300",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025105",
            "telephone_number": "913-342-2552",
            "fax_number": "913-342-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 310",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025172",
            "telephone_number": "913-342-2552",
            "fax_number": "913-342-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNER HOUSE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "SALLEE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-342-2552"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Health - #310",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.