Organization
TURNER HOUSE CLINIC INC
Active
Other names
Wyandotte Community Health Center - CCKC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SMITH (CHIEF FINANCIAL OFFICER)
(913) 342-2552
Entity
Organization
Contact information
Practice address
444 MINNESOTA AVE STE 100, KANSAS CITY, KS 66101-2939
(913) 342-2552
(913) 342-8999
Mailing address
21 N 12TH ST STE 300, KANSAS CITY, KS 66102-5105
(913) 342-2552
(913) 342-8999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
11/29/2017
Last updated
02/01/2023
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