Organization
ELECTROMED, INC.
Active
Parent organization
ELECTROMED, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELECTROMED, INC.
Authorized official
KATHY KORUM (PAYER RELATIONS MANAGER)
(952) 758-9299
Entity
Organization
Contact information
Practice address
4590 ISH DR UNIT 150, SIMI VALLEY, CA 93063-7678
(952) 758-9299
Mailing address
500 6TH AVE NW, NEW PRAGUE, MN 56071-1134
(952) 758-9299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040M2EL
BLUE CROSS BLUE SHIELD
MN
05
—
1508179649
—
CA
Enumeration date
07/19/2010
Last updated
11/06/2024
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