Medlink Management Services Inc
Organization Active NPI Critical Access Hospital · Lake Butler, FL
NPI 1013972272 · NPPES record last updated Oct 2, 2020
Key facts
- NPI
- 1013972272
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 4290 (FL)
- Legal business name
- MEDLINK MANAGEMENT SERVICES INC
- Practice address
- 850 E Main St
Lake Butler, FL 32054 - Phone
- (386) 496-2323
- Fax
- (386) 496-1611
- NPI assigned
- Apr 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Paula Gay Webb
- Title
- President and Ceo
- Phone
- (386) 496-2323
Other NPIs with the same Medicare PAC ID 1
Related certifications (CCN) 1
Practitioners 61
-
Noel R. Braseth, MD
-
John Joseph Coleman, DPM
-
Kelly Du Shuttle, ARNP
-
Arnold Feliciano, ARNP
-
Holly Darlene Garver, APRN
-
Karen Lynn Harbst-Citta, ARNP
-
Edward Orshansky, M.D.
-
Erin Anne Hoxsey Schillo, ARNP
-
Brandon Christian Stroh, M.D.
-
Aaron Todd Benner, M.D.
-
David M Cameron, M.D.
-
Tamara Carroll, M.D.
-
Mark Lewis Epstein, M.D.
-
Jonathan Samuel McDougal, M.D.
Affiliated clinicians 40
-
Crystal Thompson Baumann, ARNP, FNP-C
-
Noel R. Braseth, MD
-
Kelly Du Shuttle, ARNP
-
Carl P. Eason, M.D.
-
Arnold Feliciano, ARNP
-
Steven C Figg, M.D.
-
Holly Darlene Garver, APRN
-
Sathish George, MD
-
Peter W Giebeig Jr., M.D.
-
Karen Lynn Harbst-Citta, ARNP
-
Sierra A Hobbs, PA-C
-
Ayesha Kaleem, MD
-
Sydney Kern, PA-C
-
Fernando A Lopez Osma, M.D.
-
James W McCauley, MD
-
Christopher Moore, M.D.
-
Gloria Lynn Niquette, ARNP
Medicare Care Compare: Hospital
- Listed as
- Lake Butler Hospital
- Type
- Critical Access Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0645051 | Lake Butler Hospital | Accreditation | Sep 18, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in FL
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
- Corporation · Proprietary
- Incorporated
- Apr 1, 1994 in FL
- Enrollment address
- 850 E Main St
Lake Butler, FL 32054-1353
Hospital certification: CCN 10Z303
- Legal name
- MEDLINK MANAGEMENT SERVICES INC
- Doing business as
- LAKE BUTLER HOSPITAL
- Organization structure
- Corporation · Proprietary
- Incorporated
- Apr 1, 1994 in FL
- Enrollment address
- 850 East Main Street
Lake Butler, FL 32054-1353
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Paula G Webb |
5% Or Greater Direct Ownership Interest | Apr 1, 1994 | 50% |
| Corporate Officer |
Apr 1, 1994 | 50% | |
| Corporate Director |
Apr 1, 1994 | 50% | |
| W-2 Managing Employee |
Apr 1, 1994 | ||
| Operational/Managerial Control |
Apr 1, 1994 | 50% | |
| W-2 Managing Employee |
Apr 1, 1995 | ||
| Rebecca Cason |
Corporate Officer |
Sep 28, 2020 | 33.3% |
| Corporate Director |
Sep 28, 2020 | 33.3% | |
| W-2 Managing Employee |
Sep 24, 2020 | 50% | |
| Operational/Managerial Control | Sep 24, 2020 | 50% | |
| Corporate Officer |
Sep 28, 2020 | 33.3% | |
| Corporate Director |
Sep 28, 2020 | 33.3% | |
| Pamela Howard |
5% Or Greater Direct Ownership Interest | Apr 1, 1994 | 50% |
| Corporate Officer |
Apr 1, 1994 | 50% | |
| W-2 Managing Employee |
Apr 1, 1995 | ||
| Operational/Managerial Control |
Apr 1, 1994 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
908 NW 57th St
Unit E
Gainesville, FL 32605
Phone (386) 496-2461
905 NW 56th Ter
Gainesville, FL 32605
Phone (352) 332-7111
850 E Main St
Lake Butler, FL 32054
Phone (386) 496-1922
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
Interoperability endpoints
- ehr-direct@lbh.hin.us
- lbhadmin@lbh.fl-hie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 4290 | FL | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010822700 | Medicaid | FL | |
| 010822701 | Medicaid | FL | |
| 136 | Other | FL | BLUE CROSS BLUE SHIELD |
| 660083201 | Medicaid | FL | |
| 72800 | Other | FL | BLUE CROSS BLUE SHIELD |
| 021258000 | Medicaid | FL | |
| 660083200 | Medicaid | FL |
Other names
- Lake Butler Hospital
Other providers in Lake Butler, FL
- Martha Regina Lloyd
- Zachary Douglas Lovvorn
- Marvin W. Johnson M.D.
- Kevin Joseph May
- Tazzie Harrison McLeod
- Medlink Management Services Inc
- Medlink Management Services Inc
- Meridian Behavioral Healthcare
- Meridian Behavioral Healthcare, Inc.
- Caroline Paula Moody
All providers in Lake Butler, FL · Critical Access Hospital in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.