Mountain State Prosthetics, Llc

LBN: Mountain State Prosthetics, Llc
Mountain State Prosthetics, Llc is an health care organization with primary practice located at 216 Brooks St Suite 100, Charleston WV 25301-1828. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Mountain State Prosthetics, Llc can be contacted via phone (304) 344-5593, or through Hansford, David P. via phone (304) 344-5593.

Contact Information

Primary practice address
216 Brooks St Suite 100 Charleston WV 25301-1828
Phone: (304) 344-5593
Fax: (304) 344-5595
Website:
Map and Directions
Authorized official contact:
Name: Hansford, David P. CPO
Phone: (304) 344-5593

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1639124423
LBN Legal business name Mountain State Prosthetics, Llc
DBA Doing business as Mountain State Prosthetics, Llc
Authorized official Hansford, David P. CPO
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Mar 15th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639124423 NPPES
West Virginia MEDICAID 0147696000

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