EDWIN FAIR CMHC
NPI 1972764736
Community/Behavioral Health in Ponca City, OK

Q: What is Edwin Fair Cmhc's NPI number?

The NPI number for Edwin Fair Cmhc is 1972764736. It was assigned to this organization in the NPPES registry on June 24, 2008.

Q: What is Edwin Fair Cmhc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edwin Fair Cmhc was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 24, 2008

201 E CHESTNUT AVE, PONCA CITY, OK 74601(580) 762-7561(580) 762-2576 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edwin Fair Cmhc NPPES

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

EDWIN FAIR CMHC (NPI 1972764736) is a healthcare organization registered as a community/behavioral health in Ponca City, Oklahoma and active in the NPI registry since June 2008. The organization lists Misty Dawn Daniels, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972764736

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameEDWIN FAIR CMHC

Location Address201 E CHESTNUT AVEPonca City, OK 74601-4311

Mailing Address1500 N 6th StPonca City, OK 74601-2827 · (580) 762-7561 · Fax (580) 762-2576

Phone(580) 762-7561

Fax(580) 762-2576

Organization SubpartNo

Authorized OfficialMisty Dawn DanielsExecutive Director · (580) 762-7561

Enumeration DateJune 24, 2008

Last NPPES UpdateOctober 8, 2012

✔ NPI 1972764736 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.

201 E CHESTNUT AVE, Ponca City, OK 74601

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Other Identifiers 3

Medicaid100749540TOK

Medicaid100749540EOK

Medicaid100749540XOK

Other Providers at the Same Location NPPES 18

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

MRS. BLAINE CATHERINE WARD

Community/Behavioral Health