Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Phs Ft Lincoln Family Medicine Ctr

Family Medicine Physician in Colmar Manor, MD · enumerated 2011 · authorized official Charles Haberkern, Vp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184992794

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Registry record

Entity type Organization (Type 2)

Legal business name Phs Ft Lincoln Family Medicine Ctr

Other name <Unavail>

Parent organization Providence Hospital

Practice address 4151 Bladensburg Rd, Colmar Manor, MD, 20722

Phone (301) 699-7700

Fax (301) 779-9001

Enumeration date Dec 9, 2011

Last updated in NPPES Sep 6, 2016

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License HFD01-0212 (DC) Primary

282N00000X General Acute Care Hospital Hospitals · License HFD01-0212 (DC) Secondary

Authorized official

Name Charles Haberkern

Title Vp

Phone (202) 854-4255

Other identifiers

Identifier	Type	State	Issuer
005145400	Medicaid	MD	-
029833400	Medicaid	DC	-
09810714	Medicaid	VA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Phs Ft Lincoln Family Medicine Ctr located?

The practice location on file with NPPES is in Colmar Manor, MD.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-06. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-06.