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: July 19, 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
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

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.

Case Manager/Care Coordinator
1500 N 5TH ST
PONCA CITY, OK 74601
Case Manager/Care Coordinator
1500 N 5TH ST
PONCA CITY, OK 74601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043382484, enumerated as an "organization" on November 14, 2006.

The provider is located at 1500 N 5TH ST PONCA CITY, OK 74601 and the phone number is (580) 762-7561.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.