Mountain State Prosthetics, Llc
Prosthetic & Orthotic Supplier
216 Brooks St, Suite 100, Charleston
West Virginia, 25301-1828
304-344-5593 304-344-5595
Maps & DirectionsMountain State Prosthetics, Llc is a 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 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 |
| 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.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0147696000 | Medicaid | West 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.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.