Mountain State Prosthetics, Llc in Charleston - Prosthetic/orthotic Supplier
Mountain State Prosthetics, Llc - NPI 1639124423
Mountain State Prosthetics, Llc is a Prosthetic/orthotic Supplier in Charleston, . Mountain State Prosthetics, Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Mountain State Prosthetics, Llc is 1639124423. The last update date is 2012-03-15.
Mountain State Prosthetics, Llc's current location address is 216 Brooks St, Charleston, . You can contact this provider via phone number 3043445593 and fax number 3043445595. The mailing address for Mountain State Prosthetics, Llc is 216 Brooks St, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain State Prosthetics, Llc |
|---|---|
| Address | 216 Brooks St, Charleston, |
| Phone Number | 3043445593 |
| Fax Number | 3043445595 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Hansford P. David |
| Credentials | CPO |
| Telephone Number | 3043445593 |
NPI Number Detail
| NPI Number | 1639124423 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2012-03-15 |
Provider Mailing Address Detail
| Address | 216 Brooks St |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253011828 |
| Phone Number | 3043445593 |
| Fax Number | 3043445595 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: 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 f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 147696000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mountain State Prosthetics, Llc by the Centers for Medicare & Medicaid Services?
The Mountain State Prosthetics, Llc has been assigned the NPI (National Provider Identifier) 1639124423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Mountain State Prosthetics, Llc located?
The Mountain State Prosthetics, Llc is located at 216 Brooks St, Charleston, WV 253011828.
What is Mountain State Prosthetics, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mountain State Prosthetics, Llc's area of specialization is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this field of practice is 335E00000X.
When did Mountain State Prosthetics, Llc receive its 1639124423 assignment?
The Mountain State Prosthetics, Llc was assigned its 1639124423 on 2006-05-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Mountain State Prosthetics, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mountain State Prosthetics, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-15.