Edwin Fair Cmhc in Ponca City - Community/behavioral Health
Edwin Fair Cmhc - NPI 1972764736
Edwin Fair Cmhc is a Community/behavioral Health in Ponca City, Oklahoma. Edwin Fair Cmhc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Edwin Fair Cmhc is 1972764736. The last update date is 2012-10-08.
Edwin Fair Cmhc's current location address is 1500 N 6th St, Ponca City, Oklahoma. You can contact this provider via phone number 5807627561 and fax number 5807622576. The mailing address for Edwin Fair Cmhc is 1500 N 6th St, Ponca City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edwin Fair Cmhc |
|---|---|
| Address | 1500 N 6th St, Ponca City, Oklahoma |
| Phone Number | 5807627561 |
| Fax Number | 5807622576 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Daniels Dawn Misty |
| Credentials | MA |
| Telephone Number | 5807627561 |
NPI Number Detail
| NPI Number | 1972764736 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2012-10-08 |
Provider Mailing Address Detail
| Address | 1500 N 6th St |
|---|---|
| City | Ponca City |
| State | Oklahoma (OK) |
| Post Code | 746012827 |
| Phone Number | 5807627561 |
| Fax Number | 5807622576 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
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 dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100749540E | OK | -- | |
| 100749540T | OK | -- | |
| 100749540X | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edwin Fair Cmhc by the Centers for Medicare & Medicaid Services?
The Edwin Fair Cmhc has been issued the NPI (National Provider Identifier) 1972764736, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Edwin Fair Cmhc is physically located?
The Edwin Fair Cmhc is situated at the following address: 1500 N 6Th St, Ponca City, OK 746012827.
What is the Edwin Fair Cmhc's area of specialization and corresponding taxonomy classification?
The Edwin Fair Cmhc's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
When did Edwin Fair Cmhc receive its 1972764736 assignment?
The Edwin Fair Cmhc was assigned its 1972764736 on 2008-06-24, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Edwin Fair Cmhc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edwin Fair Cmhc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-08.
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