Provider Demographics
NPI:1902263452
Name:EXTENDED CARE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:EXTENDED CARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-364-0954
Mailing Address - Street 1:705 E BIDWELL ST
Mailing Address - Street 2:SUITE 2-366
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3315
Mailing Address - Country:US
Mailing Address - Phone:717-317-7535
Mailing Address - Fax:916-318-6950
Practice Address - Street 1:705 E BIDWELL ST
Practice Address - Street 2:SUITE 2-366
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3315
Practice Address - Country:US
Practice Address - Phone:717-317-7535
Practice Address - Fax:916-318-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13886208600000X
CA95002266363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty