NPIMap

Organization Active NPI

Medlink Management Services Inc

Doing business as Lake Butler Family & Pediatric Clinic

  • Rural Health Clinic/Center
  • Lake Butler, FL
National Provider Identifier
1114188927
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MEDLINK MANAGEMENT SERVICES INC
Doing business as
Lake Butler Family & Pediatric Clinic
Practice address
575 SE 3Rd Ave
Lake Butler, FL 32054-2647
Phone
(386) 496-1922
Fax
(386) 496-4777
NPI assigned
Jun 24, 2008
Last updated
Sep 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDLINK MANAGEMENT SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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 & Ceo
Phone
(386) 496-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

575 SE 3Rd Ave
Lake Butler, FL 32054-2647

Mailing address

PO Box 748
Lake Butler, FL 32054-0748
Phone (386) 496-1922

Other identifiers 1

IdentifierTypeStateIssuer
660083200MedicaidFL

Other names 1

  • Lake Butler Family & Pediatric Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000223 FL Part A Provider - Rural Health Clinic 2466360797 Practice locations: Lake Butler, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114188927. Details of each certification follow.

Rural health clinic certification: CCN 103424

Legal name
MEDLINK MANAGEMENT SERVICES INC
Doing business as
LAKE BUTLER HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 12, 1997
Last certification
Jan 23, 2020
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Apr 1, 1994 in FL
Enrollment address
575 SE 3Rd Ave
Ste 2
Lake Butler, FL 32054-2600
Related CCNs
101303

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).

National Provider Directory

National Provider Directory
Part of
Medlink Management SVCS

Networks

  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 2

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 100%
W-2 Managing EmployeePresident/Chief Executive Office Apr 1, 1994 100%
Operational/Managerial ControlPresident/Ceo/Board Member Apr 1, 1994 100%
Rebecca Cason Individual Corporate OfficerExecutive VP/Cfo /Board Member Sep 24, 2020
Corporate DirectorExecutive VP/Cfo /Board Member Sep 24, 2020

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789862400000",
    "number": "1114188927",
    "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": "386-496-1922",
            "fax_number": "386-496-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 SE 3RD AVE",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320542647",
            "telephone_number": "386-496-1922",
            "fax_number": "386-496-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINK MANAGEMENT SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDLINK MANAGEMENT SERVICES INC",
        "enumeration_date": "2008-06-24",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "386-496-2323",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660083200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Butler Family & Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Butler Family & Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Butler, FL

Sources for this page

Verify at the official NPI Registry.