# MEDICOM, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LYON HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376759514
- **Authorized official:** DR. BENNY EARL THOMAS D.O. (SECRETARY)
- **Authorized official phone:** (573) 774-6279

## Contact information

- **Practice address:** 215 NORTH ST, SUITE A, WAYNESVILLE, MO 65583-2553
- **Practice address phone:** (573) 774-8488
- **Practice address fax:** (573) 774-6806
- **Mailing address:** 215 NORTH ST, SUITE A, WAYNESVILLE, MO 65583-2553
- **Mailing address phone:** (573) 774-8488
- **Mailing address fax:** (573) 774-6806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 900708 | MO | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 900708 | MO | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | 900708 | MO | — |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 09/11/2025