LAKE BUTLER FAMILY & PEDIATRIC CLINIC
NPI 1114188927
Clinic/Center - Rural Health in Lake Butler, FL

Active since June 24, 2008CLIA 10D0935167 · Microscopy
575 SE 3RD AVE, LAKE BUTLER, FL 32054(386) 496-1922(386) 496-4777 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Butler Family & Pediatric Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE BUTLER FAMILY & PEDIATRIC CLINIC (NPI 1114188927) is a healthcare organization registered as a rural health in Lake Butler, Florida and active in the NPI registry since June 2008. The organization holds a CLIA Microscopy certificate valid through February 28, 2027 and lists Paula Gay Webb, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1114188927
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDLINK MANAGEMENT SERVICES INC
Location Address575 SE 3RD AVELake Butler, FL 32054-2647
Mailing AddressPo Box 748Lake Butler, FL 32054-0748 · (386) 496-1922 · Fax (386) 496-4777
Fax(386) 496-4777
Organization SubpartYesParent: Medlink Management Services, Inc.
Authorized OfficialPaula Gay WebbPresident & Ceo · (386) 496-2323
Enumeration DateJune 24, 2008
Last NPPES UpdateOctober 2, 2020
NPPES CertifiedOctober 2, 2020
NPI 1114188927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in FL · 800012290
575 SE 3RD AVE, Lake Butler, FL 32054

Other Names 1

Doing Business AsLake Butler Family & Pediatric Clinic

Other Identifiers 1

Medicaid660083200FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0935167

Lake Butler Family & Pediatric Clinic · Lake Butler, FL
Active · expires Feb 28, 2027
CLIA Number10D0935167
Laboratory TypeOther
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorNoel Braseth
Laboratory Phone(904) 496-1922
Laboratory LocationLake Butler Family & Pediatric Clinic850 East Main Street, Lake Butler, FL 32054
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Surgery of the Hand)
575 SE 3RD AVE
LAKE BUTLER, FL 32054
Nurse Practitioner (Primary Care)
575 SE 3RD AVE
LAKE BUTLER, FL 32054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medlink Management Services Inc's NPI number?

The NPI number for Medlink Management Services Inc is 1114188927. It was assigned to this organization in the NPPES registry on June 24, 2008. The provider is doing business as Lake Butler Family & Pediatric Clinic.

Where is Medlink Management Services Inc located?

Medlink Management Services Inc is located at 575 SE 3rd Ave, Lake Butler, FL 32054. The listed phone number is (386) 496-1922.

What is Medlink Management Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Medlink Management Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0935167) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medlink Management Services Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Medlink Management Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medlink Management Services Inc was last updated on October 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.