Mountain State Prosthetics, LLC
NPI 1639124423 · Prosthetic/Orthotic Supplier · Charleston, WV
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain State Prosthetics, LLC is a Prosthetic/Orthotic Supplier organization in Charleston, WV (NPI 1639124423).
Provider details
- NPI number
- 1639124423
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- David Hansford, Manager(304) 344-5593
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Mountain State Prosthetics, LLC
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2012-03-15
Frequently asked questions
- What is Mountain State Prosthetics, LLC's NPI number?
- Mountain State Prosthetics, LLC's National Provider Identifier (NPI) is 1639124423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain State Prosthetics, LLC?
- Mountain State Prosthetics, LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Mountain State Prosthetics, LLC located?
- Mountain State Prosthetics, LLC's practice location on file with NPPES is 216 Brooks St, Charleston, WV 25301-1828.
- What is Mountain State Prosthetics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain State Prosthetics, LLC is (304) 344-5593.
- Does Mountain State Prosthetics, LLC accept Medicare?
- Mountain State Prosthetics, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain State Prosthetics, LLC?
- The authorized official listed on Mountain State Prosthetics, LLC's NPPES record is David Hansford, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain State Prosthetics, LLC's NPI active?
- Yes — Mountain State Prosthetics, LLC's NPI (1639124423) is active in the NPPES registry as of the last update on 2012-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.