Organization
ELECTROMED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KORUM (PAYOR RELATIONS MANAGER)
(952) 758-9299
Entity
Organization
Contact information
Practice address
500 6TH AVE NW, NEW PRAGUE, MN 56071-1134
(952) 758-9299
(952) 785-5077
Mailing address
500 6TH AVE NW, NEW PRAGUE, MN 56071-1134
(952) 758-9299
(952) 785-5077
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MN
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001887790 0001
—
PA
05
—
00440933
—
MS
05
—
0051501
—
NJ
05
—
009939495
—
AL
05
—
016662600
—
MN
05
—
02814428
—
NY
05
—
0556068
—
IA
05
—
10025643700
—
NE
05
—
100416380B
—
KS
05
—
100500144
—
NV
05
—
1011561
—
VT
05
—
1135984
—
LA
05
—
117817200
—
WY
05
—
1508179649
—
CA
05
—
158531702
—
TX
05
—
1733907
—
AK
05
—
1821030909
—
SD
05
—
200001280A
—
OK
05
—
200399120A
—
IN
05
—
205787716
—
AR
05
—
205787716
—
OR
05
—
2320492
—
OH
05
—
29236576
—
CO
05
—
3098943
—
NH
05
—
3114717
—
CT
05
—
3810008973
—
WV
05
—
432873300
—
ME
05
—
43542600
—
DC
05
—
4579436
—
MI
05
—
4582294
—
TN
05
—
492711569A
—
GA
05
—
55011
—
ND
05
—
5606413
—
MT
05
—
561292
—
AZ
05
—
625718101
—
MO
05
—
7489021 00
—
MD
05
—
7704700
—
NC
05
—
78972531
—
NM
05
—
806217200
—
ID
05
—
82171800
—
WI
05
—
9000534900
—
KY
05
—
9054842
—
WA
05
—
9120203
—
VA
05
—
9840001
—
RI
05
—
DE2214
—
SC
05
—
MS2920
—
AK
Enumeration date
06/12/2006
Last updated
05/16/2025
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