Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Phs Ft Lincoln Family Medicine Ctr

Organization Family Medicine Physician · NPI 1184992794

Phs Ft Lincoln Family Medicine Ctr provides Family Medicine Physician services in Colmar Manor, Maryland. Licensed in District of Columbia. Registered with an NPI since 2011.

Licensed in
DC
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

4151 Bladensburg Rd
Colmar Manor, MD 20722-1928 Not confirmed with CMS for 10 years — call before visiting
Phone: (301) 699-7700
Fax: (301) 779-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence HFD01-0212 (DC)
General Acute Care Hospital Taxonomy 282N00000X · Licence HFD01-0212 (DC)

Record details

NPI number1184992794
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Charles Haberkern — Vp · (202) 854-4255
Other names Providence Health Services
NPI enumeratedDecember 9, 2011
Last updated in NPPESSeptember 6, 2016
Mailing address1160 Varnum St Ne, St Catherine'S Hall, Room 102, Washington, DC 20017-2107

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