Home » District of Columbia » 20722 » Phs Ft Lincoln Family Medicine Ctr

Phs Ft Lincoln Family Medicine Ctr

Phs Ft Lincoln Family Medicine Ctr is a health care provider in Washington, DC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928, US
Practice Location Phone301-699-7700
Practice Location Fax301-779-9001
Legal Business NamePHS FT LINCOLN FAMILY MEDICINE CTR
Other Organization NamePROVIDENCE HEALTH SERVICES
Other Organization Name TypeAn Other Name
NPI ?1184992794
Entity TypeOrganization
Enumeration Date ? Dec 9, 2011
Last Update Date ? Sep 6, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Phs Ft Lincoln Family Medicine Ctr

SpecialtySpecializationLicenseLicense State
Family Medicine HFD01-0212District of Columbia
General Acute Care Hospital HFD01-0212District of Columbia

legacy-id-icon Legacy Provider IDs of Phs Ft Lincoln Family Medicine Ctr

Provider IdIssuer StateIssuer TypeIssuer
029833400District of ColumbiaMedicaid
005145400MarylandMedicaid
09810714VirginiaMedicaid

official-icon Authorized Official of Phs Ft Lincoln Family Medicine Ctr

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Phs Ft Lincoln Family Medicine Ctr's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Charles F Haberkern
Authorized Official Title/PositionVP
Authorized Official Phone Number202-854-4255