Provider Demographics
NPI:1396200564
Name:FIELDVIEW HEALTHCARE, INC
Entity Type:Organization
Organization Name:FIELDVIEW HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:CHESS
Authorized Official - Last Name:BRONK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-927-5772
Mailing Address - Street 1:7130 W MAPLE ST # 230-125
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-2187
Mailing Address - Country:US
Mailing Address - Phone:316-351-7767
Mailing Address - Fax:
Practice Address - Street 1:551 S HOLLAND ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2007
Practice Address - Country:US
Practice Address - Phone:833-343-5384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health