Edwin Fair Community Mental Health Center Inc. in Ponca City - Community/behavioral Health
Edwin Fair Community Mental Health Center Inc. - NPI 1134291578
Edwin Fair Community Mental Health Center Inc. is a Community/behavioral Health in Ponca City, Oklahoma. Edwin Fair Community Mental Health Center Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Edwin Fair Community Mental Health Center Inc. is 1134291578. The last update date is 2008-06-16.
Edwin Fair Community Mental Health Center Inc.'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 Community Mental Health Center Inc. is 1500 N 6th St, Ponca City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edwin Fair Community Mental Health Center Inc. |
|---|---|
| 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 | Cowan Homer Geoffrey |
| Credentials | LPC |
| Telephone Number | 5807627561 |
NPI Number Detail
| NPI Number | 1134291578 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2008-06-16 |
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 |
|---|---|---|---|
| 100749540O | OK | -- | |
| 100749540K | OK | -- | |
| 100749540M | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edwin Fair Community Mental Health Center Inc. by the Centers for Medicare & Medicaid Services?
The Edwin Fair Community Mental Health Center Inc. has been assigned the NPI (National Provider Identifier) 1134291578. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Edwin Fair Community Mental Health Center Inc. is physically located?
The Edwin Fair Community Mental Health Center Inc. is situated at the following address: 1500 N 6Th St, Ponca City, OK 746012827.
What is Edwin Fair Community Mental Health Center Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edwin Fair Community Mental Health Center Inc. is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134291578 to Edwin Fair Community Mental Health Center Inc.?
The Edwin Fair Community Mental Health Center Inc. received its 1134291578 assignment from the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the Edwin Fair Community Mental Health Center Inc.'s information last updated?
The Edwin Fair Community Mental Health Center Inc.'s information was last updated on 2008-06-16.