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EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.
NPI 1043382484
Community/Behavioral Health in Ponca City, OK

Active since November 14, 2006
1500 N 5TH ST, PONCA CITY, OK 74601(580) 762-7561(580) 762-2576 Get Directions Write a Review

NPPES record last updated: June 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edwin Fair Community Mental Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. (NPI 1043382484) is a healthcare organization registered as a community/behavioral health in Ponca City, Oklahoma and active in the NPI registry since November 2006. The organization lists Misty D Daniels, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043382484
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.
Location Address1500 N 5TH STPonca City, OK 74601-2758
Mailing Address1500 N 5th StPonca City, OK 74601-2758 · (580) 762-7561 · Fax (580) 762-2576
Phone(580) 762-7561
Fax(580) 762-2576
Organization SubpartNo
Authorized OfficialMisty D DanielsExecutive Director · (580) 762-7561
Enumeration DateNovember 14, 2006
Last NPPES UpdateJune 28, 2011
✔ NPI 1043382484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1500 N 5TH ST, Ponca City, OK 74601
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Other Identifiers 2

Medicaid100749540DOK
Medicare ID-Type UnspecifiedWCDHZOK · Efc Doc Services

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTA M WYNN
Case Manager/Care Coordinator
1500 N 5TH ST
PONCA CITY, OK 74601
Kay County (580) 762-7561
MR. LAURIE SCOTT APPLEMAN
Case Manager/Care Coordinator
1500 N 5TH ST
PONCA CITY, OK 74601
Kay County (580) 762-7561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Fair Community Mental Health Center, Inc.'s NPI number?

The NPI number for Edwin Fair Community Mental Health Center, Inc. is 1043382484. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Edwin Fair Community Mental Health Center, Inc. located?

Edwin Fair Community Mental Health Center, Inc. is located at 1500 N 5th St, Ponca City, OK 74601. The listed phone number is (580) 762-7561.

What is Edwin Fair Community Mental Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Edwin Fair Community Mental Health Center, Inc. was last updated on June 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.