Provider Demographics
NPI:1013481837
Name:ELECTROMED, INC
Entity type:Organization
Organization Name:ELECTROMED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-758-9299
Mailing Address - Street 1:500 6TH AVE NW # NA
Mailing Address - Street 2:
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:952-758-5077
Practice Address - Street 1:76 MERRIMACK ST STE 6A
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6246
Practice Address - Country:US
Practice Address - Phone:800-462-1045
Practice Address - Fax:866-758-5077
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELECTROMED, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-15
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1821030909OtherCORPORATE NPI