Glenda Sue Stidham in Manchester - Public Health, State Or Local
Glenda Sue Stidham - NPI 1598966459
Glenda Sue Stidham is a Public Health, State Or Local in Manchester, Kentucky. Glenda Sue Stidham practices all healthcare services and medical treatments related to Public Health, State Or Local. The NPI Number for Glenda Sue Stidham is 1598966459. The last update date is 2007-07-08.
Glenda Sue Stidham's current location address is 57 Miller Rd, Manchester, Kentucky. You can contact this provider via phone number 6065982815 and fax number 6065980148. The mailing address for Glenda Sue Stidham is 57 Miller Rd, Manchester, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenda Sue Stidham |
|---|---|
| Address | 57 Miller Rd, Manchester, Kentucky |
| Phone Number | 6065982815 |
| Fax Number | 6065980148 |
| Sole Proprietor | Y |
| Credentials | IECE CERTI |
NPI Number Detail
| NPI Number | 1598966459 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 57 Miller Rd |
|---|---|
| City | Manchester |
| State | Kentucky (KY) |
| Post Code | 409625714 |
| Phone Number | 6065982815 |
| Fax Number | 6065980148 |
Provider's Primary Taxonomy Detail
| Speciality | Public Health, State Or Local |
|---|---|
| Taxonomy | 261Qp0905X |
| Licence No | 1984 |
|
Definition: A state or local government public health agency providing health services to a designated population. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1984 | KY | DEVELOPMENTAL INTERVENTIO |
Post Comment/ Review Below
What is the unique identifier code issued to Glenda Sue Stidham by the Centers for Medicare & Medicaid Services?
The Glenda Sue Stidham has been assigned the NPI (National Provider Identifier) 1598966459. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Glenda Sue Stidham is physically located?
The Glenda Sue Stidham is physically situated at the following address: 57 Miller Rd, Manchester, KY, 409625714.
What is Glenda Sue Stidham's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glenda Sue Stidham is Public Health, State Or Local, and the taxonomy classification code that categorizes this area of expertise is 261Qp0905X.
On what date did the Glenda Sue Stidham receive its 1598966459 assignment from the Centers for Medicare & Medicaid Services?
The Glenda Sue Stidham was assigned its 1598966459 by the Centers for Medicare & Medicaid Services on 2007-05-29.
As of what date was the information pertaining to Glenda Sue Stidham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Glenda Sue Stidham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL