ELECTROMED, INC.

Provider Demographics

• NPI: 1821030909
• Name: ELECTROMED, INC.
• Entity Type: Organization
• Organization Name: ELECTROMED, INC.
• Authorized Official - Title/Position: CONTRACTING SPECIALIST
• Authorized Official - First Name: KATHY
• Authorized Official - Last Name: KORUM
• Authorized Official - Phone: 952-758-0335
• Mailing Address - Street 1: 500 6TH AVE NW
• Mailing Address - City: NEW PRAGUE
• Mailing Address - State: MN
• Mailing Address - Zip Code: 56071-1134
• Mailing Address - Country: US
• Mailing Address - Phone: 952-758-9299
• Mailing Address - Fax: 952-785-5077
• Practice Address - Street 1: 500 6TH AVE NW
• Practice Address - City: NEW PRAGUE
• Practice Address - State: MN
• Practice Address - Zip Code: 56071-1134
• Practice Address - Country: US
• Practice Address - Phone: 952-758-9299
• Practice Address - Fax: 952-785-5077
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-06-12
• Last Update Date: 2022-07-21

Provider Licenses

State	License ID	Taxonomies
MN		332B00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MS	00440933	Medicaid
VT	1011561	Medicaid
ME	432873300	Medicaid
ND	55011	Medicaid
MT	5606413	Medicaid
NM	78972531	Medicaid
ID	806217200	Medicaid
NY	02814428	Medicaid
OR	205787716	Medicaid
WA	9054842	Medicaid
AL	009939495	Medicaid
SD	1821030909	Medicaid
IN	200399120A	Medicaid
OH	2320492	Medicaid
CO	29236576	Medicaid
WV	3810008973	Medicaid
DC	43542600	Medicaid
VA	9120203	Medicaid
MN	016662600	Medicaid
LA	1135984	Medicaid
NH	3098943	Medicaid
MI	4579436	Medicaid
KY	9000534900	Medicaid
IA	0556068	Medicaid
NE	10025643700	Medicaid
OK	200001280A	Medicaid
MO	625718101	Medicaid
NC	7704700	Medicaid
WI	82171800	Medicaid
PA	001887790 0001	Medicaid
WY	117817200	Medicaid
TN	4582294	Medicaid
MD	7489021 00	Medicaid
RI	9840001	Medicaid
KS	100416380B	Medicaid
CA	1508179649	Medicaid
GA	492711569A	Medicaid
NJ	0051501	Medicaid
NV	100500144	Medicaid
TX	158531702	Medicaid
AR	205787716	Medicaid
CT	3114717	Medicaid
AZ	561292	Medicaid
SC	DE2214	Medicaid
AK	MS2920	Medicaid
MO	625718101	Medicaid
AK	MS2920	Medicaid
RI	9840001	Medicaid
SC	DE2214	Medicaid
KY	9000534900	Medicaid