Mountain State Prosthetics, Llc

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
216 Brooks St, Suite 100, Charleston
West Virginia, 25301-1828

 304-344-5593     304-344-5595Maps & Directions
Mountain State Prosthetics, Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Charleston, West Virginia. It is situated at 216 Brooks St, Suite 100, Charleston and its contact number is 304-344-5593. The authorized person of Mountain State Prosthetics, Llc is David P. Hansford who is Manager of the store and his/her contact number is 304-344-5593.
Mountain State Prosthetics, Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.


Complete Center Profile:
Mountain State Prosthetics, Llc Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier, Prosthetic & Orthotic Supplier
Address:216 Brooks St, Suite 100, Charleston,
West Virginia, 25301-1828
Phone:304-344-5593
Fax:304-344-5595
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: David P. Hansford
Position: Manager
Contact Number: 304-344-5593
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Mountain State Prosthetics, Llc center are as mentioned below.
NPI Number: 1639124423
NPI Enumeration Date: 23 May, 2006
NPI Last Update On: 15 Mar, 2012

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain State Prosthetics, Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0147696000MedicaidWest Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mountain State Prosthetics, Llc
216 Brooks St, Suite 100
Charleston, West Virginia
Zip: 25301-1828
Phone Number: 304-344-5593
Fax Number: 304-344-5595
Patients can reach Mountain State Prosthetics, Llc at 216 Brooks St, Suite 100, Charleston, West Virginia or can call to book an appointment on 304-344-5593. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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