Healthcare Provider Details

I. General information

NPI: 1013972272
Provider Name (Legal Business Name): MEDLINK MANAGEMENT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E MAIN ST
LAKE BUTLER FL
32054
US

IV. Provider business mailing address

PO BOX 748
LAKE BUTLER FL
32054-0748
US

V. Phone/Fax

Practice location:
  • Phone: 386-496-2323
  • Fax: 386-496-1611
Mailing address:
  • Phone: 386-496-2323
  • Fax: 386-496-1611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number4290
License Number StateFL

VIII. Authorized Official

Name: MRS. PAULA GAY WEBB
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 386-496-2323