Healthcare Provider Details

I. General information

NPI: 1821030909
Provider Name (Legal Business Name): ELECTROMED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 6TH AVE NW
NEW PRAGUE MN
56071-1134
US

IV. Provider business mailing address

500 6TH AVE NW
NEW PRAGUE MN
56071-1134
US

V. Phone/Fax

Practice location:
  • Phone: 952-758-9299
  • Fax: 952-785-5077
Mailing address:
  • Phone: 952-758-9299
  • Fax: 952-785-5077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: KATHY KORUM
Title or Position: PAYOR RELATIONS MANAGER
Credential:
Phone: 952-758-9299