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.
|Practice Location||4151 Bladensburg Rd, Colmar Manor, MD 20722-1928, US|
|Practice Location Phone||301-699-7700|
|Practice Location Fax||301-779-9001|
|Legal Business Name||PHS FT LINCOLN FAMILY MEDICINE CTR|
|Other Organization Name||PROVIDENCE HEALTH SERVICES|
|Other Organization Name Type||An Other Name|
|Enumeration Date ?||Dec 9, 2011|
|Last Update Date ?||Sep 6, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians||HFD01-0212||District of Columbia|
|General Acute Care Hospital||Hospitals||HFD01-0212||District of Columbia|
|Provider Id||Issuer State||Issuer Type||Issuer|
|029833400||District of Columbia||Medicaid|
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/Position||VP|
|Authorized Official Phone Number||202-854-4255|