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FQHCLA366A Turner House Clinic Inc. (Terminated)
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Main Details
Name
Turner House Clinic Inc.
Subdivision Name
Wyandotte Community Health Center - CCKC
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-021489
340B ID
FQHCLA366A
Grant Number
LALCS31599
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
Last Recertification Date
2/1/2019
Termination Date
Termination Reason
4/1/2020
Terminated - Reason unknown
Contacts
Authorizing Official
Turner House Clinic
Patrick Sallee, CEO
(913) 342-2552
Primary Contact
Turner House Clinic
Jackie Burczyk, CFO
(913) 342-2552
Addresses
Street Address
444 Minnesota Ave, Suite 100
Kansas City, KS 66101-2914
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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