NPIMap

Organization Active NPI

Turner House Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
National Provider Identifier
1558029942
Registry record updated Jul 21, 2022
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
Practice address
21 N 12TH St Ste 110
Kansas City, KS 66102-5104
Phone
(913) 342-2552
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

21 N 12TH St Ste 110
Kansas City, KS 66102-5104

Mailing address

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

Other names 1

  • Vibrant Health - STE 110 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220716000273 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

Federally qualified health center certification: CCN 171912

Legal name
TURNER HOUSE CLINIC INC
Doing business as
VIBRANT HEALTH - STE 110
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 18, 2022
Last certification
Jul 18, 2022
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jun 14, 2007 in KS
Enrollment address
21 N 12TH St
Ste 110
Kansas City, KS 66102-5104

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Tracy Lynn Lockton Individual Corporate OfficerBoard Chair Jan 1, 2021
Patrick Sallee Individual Corporate OfficerCeo Feb 17, 2017
Theresa Cummings Individual Corporate OfficerVice Chair Jan 1, 2021
Charles Smith Individual Corporate OfficerCfo Aug 31, 2020
W-2 Managing EmployeeCfo Aug 31, 2020
Turner House Clinic Inc Organization, Kansas City, KS Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2022 100%

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

All facility ownership & control disclosures 9

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 - 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 9

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

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558029942",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 110",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025104",
            "telephone_number": "913-342-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNER HOUSE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Health - STE 110",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vibrant Health - STE 110",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.