OrganizationActive
Medicom, Inc.
NPI 1376759514 · Oxygen Equipment & Supplies (DME) · Waynesville, MO
Provider details
- NPI number
- 1376759514
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Benny Thomas, Secretary(573) 774-6279
- License
- 900708 (MO)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Practice location
215 North St
Suite a
Waynesville, MO 65583-2553
Phone: (573) 774-8488
Fax: (573) 774-6806
Approximate (ZIP-level) locationGet directions
Mailing address
215 North St
Waynesville, MO 65583-2553
Other names (DBA / former)
- Doing business as
- Lyon Home Care
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.