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PROVIDENCE HEALTH SERVICES
NPI 1184992794
Family Medicine in Colmar Manor, MD

Active since December 09, 2011
4151 BLADENSBURG RD, COLMAR MANOR, MD 20722(301) 699-7700(301) 779-9001 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH SERVICES (NPI 1184992794) is a healthcare organization registered as a family medicine in Colmar Manor, Maryland and active in the NPI registry since December 2011. The organization lists Charles F Haberkern, Vp, as its authorized official.

NPPES Registry Identity

NPI1184992794
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHS FT LINCOLN FAMILY MEDICINE CTR
Location Address4151 BLADENSBURG RDColmar Manor, MD 20722-1928
Mailing Address1160 Varnum St Ne, St Catherine's Hall, Room 102Washington, DC 20017-2107 · (202) 854-4069 · Fax (202) 854-7825
Phone(301) 699-7700
Fax(301) 779-9001
Organization SubpartYesParent: Providence Hospital
Authorized OfficialCharles F HaberkernVp · (202) 854-4255
Enumeration DateDecember 9, 2011
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1184992794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DC · HFD01-0212
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License HFD01-0212 (DC)
4151 BLADENSBURG RD, Colmar Manor, MD 20722
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Other Names 1

Other NameProvidence Health Services

Other Identifiers 4

Medicare PIN090006
Medicaid09810714VA
Medicaid005145400MD
Medicaid029833400DC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CIARA DANIELLE- EMALI JOHNSON
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (310) 699-7707
DARYLE HOWARD DO
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7707
GEORGETTE NANA AKUA ADAE-MENSAH MD
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7707
PHUC L NGUYEN MD
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7700
HALIMA WHITE MD
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7707
OSCAR FERNANDO HERNANDEZ DO
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7707
PROVIDENCE HEALTH SERVICES
Family Medicine
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7700
COURTNEY B SPENSLEY MD
Family Medicine
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phs Ft Lincoln Family Medicine Ctr's NPI number?

The NPI number for Phs Ft Lincoln Family Medicine Ctr is 1184992794. It was assigned to this organization in the NPPES registry on December 9, 2011. The provider is also known as Providence Health Services.

Where is Phs Ft Lincoln Family Medicine Ctr located?

Phs Ft Lincoln Family Medicine Ctr is located at 4151 Bladensburg Rd, Colmar Manor, MD 20722. The listed phone number is (301) 699-7700.

What is Phs Ft Lincoln Family Medicine Ctr's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Phs Ft Lincoln Family Medicine Ctr was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.