OrganizationActive
Quad States Medical Rehab and Supply LLC
NPI 1407937121 · Oxygen Equipment & Supplies (DME) · Clinton, MO
Provider details
- NPI number
- 1407937121
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Ross Lockhart, 50 Shareholder(417) 646-2886
- License
- 19368569 (MO)
Specialties & taxonomies
Suppliers
Practice location
107 Wesmor St
Clinton, MO 64735-1786
Phone: (417) 646-2886
Fax: (660) 885-2640
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 564
Osceola, MO 64776-0564
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2008-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.