EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. – Community/Behavioral Health Agency, NPI 1043382484

EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. is a healthcare provider. based in Ponca city, Oklahoma. specializing in Community/Behavioral Health Agency. The NPI Number for EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. is 1043382484

Main info

Organization
Name
EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.
NPI
1043382484
Phone
(580) 762-7561
Address
1500 N 5TH ST
Authorized Official
MRS. MISTY D DANIELS EXECUTIVE DIRECTOR MA
Enumeration Date
14 November 2006
Last Update Date
28 June 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.

  • 1500, North 5th Street, Ponca City, Kay County, Oklahoma, 74601, United States

    PONCA CITY, OK 746012758

    Phone: (580) 762-7561

    Fax: (580) 762-2576

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74601)

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Reviews

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Frequently asked questions

How do I look up EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. by NPI?
Use NPI 1043382484 when you need to reference EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. in forms, claims, or directories.
Is EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.?
The page reflects Community/Behavioral Health Agency for EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.. Clinical services aligned with this taxonomy classification.
Where does public data place EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.?
The snapshot lists Ponca City, Oklahoma for EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.; download NPPES for the complete set.
What if Ponca City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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