Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain State Prosthetics, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1639124423

Mountain State Prosthetics, LLC is a Prosthetic/Orthotic Supplier in Charleston, West Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

216 Brooks St Ste 100
Charleston, WV 25301-1828
Phone: (304) 344-5593
Fax: (304) 344-5595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1639124423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Hansford — Manager · (304) 344-5593
Other names Mountain State Prosthetics, Llc
NPI enumeratedMay 23, 2006
Last updated in NPPESMarch 15, 2012
Mailing address216 Brooks St, Suite 100, Charleston, WV 25301-1828

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