NPIMap

Organization Active NPI

Medlink Management Services Inc

Doing business as Lake Butler Hospital

  • Critical Access Hospital
  • Lake Butler, FL
National Provider Identifier
1013972272
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
4290 Issued in FL
Legal business name
MEDLINK MANAGEMENT SERVICES INC
Doing business as
Lake Butler Hospital
Practice address
850 E Main St
Lake Butler, FL 32054
Phone
(386) 496-2323
Fax
(386) 496-1611
NPI assigned
Apr 19, 2006
Last updated
Oct 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Paula Gay Webb
Title
President and Ceo
Phone
(386) 496-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 4290 FL Primary

Addresses

Primary practice location

850 E Main St
Lake Butler, FL 32054

Mailing address

PO Box 748
Lake Butler, FL 32054-0748
Phone (386) 496-2323

Other identifiers 7

IdentifierTypeStateIssuer
136OtherFLBLUE CROSS BLUE SHIELD
010822700MedicaidFL
660083201MedicaidFL
010822701MedicaidFL
021258000MedicaidFL
660083200MedicaidFL
72800OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Lake Butler Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040227000090 FL Part B Supplier - Clinic/Group Practice 2466360797 Receives reassigned benefits from 31 practitioners
Practice locations: Lake Butler, FL
O20100929001663 FL Part A Provider - Critical Access Hospital 2466360797 Receives reassigned benefits from 4 practitioners
Practice locations: Lake Butler, FL
O20220722001190 FL Part A Provider - Critical Access Hospital 2466360797 Receives reassigned benefits from 5 practitioners
Practice locations: Lake Butler, FL

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1013972272. Details of each certification follow.

Hospital certification: CCN 101303

Legal name
MEDLINK MANAGEMENT SERVICES INC
Doing business as
LAKE BUTLER HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2001
Last certification
Nov 9, 2021
Beds
25
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Apr 1, 1994 in FL
Enrollment address
850 E Main St
Lake Butler, FL 32054-1353
Main/Primary Hospital Location

Hospital certification: CCN 10Z303

Legal name
MEDLINK MANAGEMENT SERVICES INC
Doing business as
LAKE BUTLER HOSPITAL
Organization structure
CorporationProprietary
Incorporated
Apr 1, 1994 in FL
Enrollment address
850 East Main Street
Lake Butler, FL 32054-1353
Hospital Swing-Bed Unit

Hospital certification: CCN 100241

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LAKE BUTLER HOSPITAL HAND SURGERY CENTER
Certification status
Terminated Other: provider status change, Mar 31, 2001
Provider type (POS)
Hospital – Short-term
Participating since
Oct 12, 1977
Last certification
Feb 23, 1999
Beds
27
Ownership / control type
Private (for profit)
Facility address
850 E Main St
Lake Butler, FL 32054

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Lake Butler HospitalCCN 101303 · All quality measures
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0645051Lake Butler Hospital850 E Main St, Lake Butler, FL 32054AccreditationSep 18, 2027

National Provider Directory

National Provider Directory

Locations

905 NW 56th Ter
Gainesville, FL 32605
Phone (352) 332-7111

908 NW 57th St
Unit E
Gainesville, FL 32605
Phone (386) 496-2461

575 SE 3rd Ave
Ste 2
Lake Butler, FL 32054
Phone (386) 496-1922

820 E Main St
Lake Butler, FL 32054
Phone (954) 496-2323

6100 Saint Johns Ave
#B
Palatka, FL 32177
Phone (386) 325-5005

Interoperability endpoints

  • Direct secure messaging: ehr-direct@lbh.hin.us
  • Direct secure messaging: lbhadmin@lbh.fl-hie.net

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paula G Webb Individual 5% Or Greater Direct Ownership Interest Apr 1, 1994 50%
Corporate OfficerPresident/Cfo Apr 1, 1994 50%
Corporate DirectorBoard Member Apr 1, 1994 50%
W-2 Managing EmployeePresident/Cfo Apr 1, 1994
Operational/Managerial ControlPresident/Cfo/Administration Apr 1, 1994 50%
W-2 Managing EmployeePresident/Cfo Apr 1, 1995
Rebecca Cason Individual Corporate OfficerExecutive Vice President, Cfo/Bo Sep 28, 2020 33.3%
Corporate DirectorExecutive Vice President, Cfo/Bo Sep 28, 2020 33.3%
W-2 Managing EmployeeCfo Sep 24, 2020 50%
Operational/Managerial Control Sep 24, 2020 50%
Corporate OfficerExecutive Vice President and Cfo Sep 28, 2020 33.3%
Corporate DirectorExecutive Vice President and Cfo Sep 28, 2020 33.3%
Pamela Howard Individual 5% Or Greater Direct Ownership Interest Apr 1, 1994 50%
Corporate OfficerCeo Apr 1, 1994 50%
W-2 Managing EmployeeCeo/Hospital Administrator Apr 1, 1995
Operational/Managerial ControlPresident/Cfo/Administration Apr 1, 1994 50%

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

Affiliated clinicians 40

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1013972272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320540748",
            "telephone_number": "386-496-2323",
            "fax_number": "386-496-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E MAIN ST",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "32054",
            "telephone_number": "386-496-2323",
            "fax_number": "386-496-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINK MANAGEMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "386-496-2323",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "FL",
            "license": "4290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "136",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010822700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660083201",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010822701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021258000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660083200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "72800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Butler Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Butler, FL

Sources for this page

Verify at the official NPI Registry.