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Phs Ft Lincoln Family Medicine Ctr

NPI 1184992794ActiveOrganization· Family Medicine· Colmar Manor, MD

Family Medicine in Colmar Manor, Maryland, registered in NPPES in December 2011, part of Providence Hospital. The authorized official on file is Charles F. Haberkern, Vp.

Overview

NPI1184992794
StatusActive
Entity typeOrganization (subpart)
Parent organizationProvidence Hospital
NPI issuedDec 9, 2011
Last updated in NPPESSep 6, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000XHFD01-0212DC
General Acute Care Hospital282N00000XHFD01-0212DC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other family medicine physicians in Colmar Manor

All 15 family medicine physicians in Colmar Manor · All family medicine physicians in Maryland