PHS FT LINCOLN FAMILY MEDICINE CTR – NPI #1184992794
Family Medicine

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.

PHS FT LINCOLN FAMILY MEDICINE CTR is a provider located in COLMAR MANOR, MD. NPPES has assigned the NPI number 1184992794 to PHS FT LINCOLN FAMILY MEDICINE CTR on December 09, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PHS FT LINCOLN FAMILY MEDICINE CTR is also known by the name PROVIDENCE HEALTH SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Sep 06, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHS FT LINCOLN FAMILY MEDICINE CTR below.

NPI Profile for
PHS FT LINCOLN FAMILY MEDICINE CTR

NPI Number
1184992794
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHS FT LINCOLN FAMILY MEDICINE CTR
Other Name: PROVIDENCE HEALTH SERVICES
Primary location
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722-1928
Phone: (301) 699-7700 Fax: (301) 779-9001
Mailing address
1160 VARNUM ST NE
ST CATHERINE'S HALL, ROOM 102
WASHINGTON, DC 20017-2107
Phone: (202) 854-4069 Fax: (202) 854-7825
Organization Subpart
Yes - PHS FT LINCOLN FAMILY MEDICINE CTR is subpart of another organization.
Authorized Official
CHARLES HABERKERN
VP
Phone: (202) 854-4255
Updated
Identifiers

Identifiers for PHS FT LINCOLN FAMILY MEDICINE CTR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDC029833400
MEDICAIDMD005145400
MEDICAIDVA09810714
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
DC HFD01-0212
282N00000X
- General Acute Care Hospital
DC HFD01-0212

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.