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Mountain State Prosthetics, LLC

Prosthetic/Orthotic Supplier in Charleston, WV · enumerated 2006 · authorized official David Hansford, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639124423

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain State Prosthetics, LLC
Other name <Unavail>
Practice address 216 Brooks St, Suite 100, Charleston, WV, 25301
Phone (304) 344-5593
Fax (304) 344-5595
Enumeration date May 23, 2006
Last updated in NPPES Mar 15, 2012

Taxonomy & classification

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Authorized official

Name David Hansford
Title Manager
Phone (304) 344-5593

Other identifiers

Identifier Type State Issuer
0147696000 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Mountain State Prosthetics, LLC?
NPPES lists David Hansford (Manager) as the authorized official for this organization.
What is the NPI number for Mountain State Prosthetics, LLC?
The NPI for Mountain State Prosthetics, LLC is 1639124423, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-15.