Provider Demographics
NPI:1538574041
Name:CARC ENTERPRISES INCORPORATED
Entity type:Organization
Organization Name:CARC ENTERPRISES INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTOS ARCARESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-337-1643
Mailing Address - Street 1:628 BURKE HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-6098
Mailing Address - Country:US
Mailing Address - Phone:719-337-1643
Mailing Address - Fax:
Practice Address - Street 1:1050 S ACADEMY BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3924
Practice Address - Country:US
Practice Address - Phone:719-641-9416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty