Organization Active NPI

Electromed, Inc

  • Durable Medical Equipment & Medical Supplies
  • Haverhill, MA
National Provider Identifier
1013481837
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELECTROMED, INC
Practice address
76 Merrimack St Ste 6a
Haverhill, MA 01830-6246
Phone
(800) 462-1045
Fax
(866) 758-5077
NPI assigned
Jan 15, 2019
Organization subpart
Yes
Parent organization
ELECTROMED, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathy Korum
Title
Contracting Specialist
Phone
(952) 758-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

76 Merrimack St Ste 6a
Haverhill, MA 01830-6246

Mailing address

500 6TH Ave NW # NA
New Prague, MN 56071-1134
Phone (952) 758-9299

Other identifiers 1

IdentifierTypeStateIssuer
1821030909OtherCORPORATE NPI

National Provider Directory

National Provider Directory
Part of
Electromed Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1013481837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 6TH AVE NW # NA",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711134",
            "telephone_number": "952-758-9299",
            "fax_number": "952-758-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MERRIMACK ST STE 6A",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306246",
            "telephone_number": "800-462-1045",
            "fax_number": "866-758-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROMED, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELECTROMED, INC",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "KORUM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "952-758-9299"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1821030909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.