Active NPI
Corrigan Medical, LLC
- Rural Health Clinic/Center
- Corrigan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- CORRIGAN MEDICAL, LLC
- Practice address
- 207 W Ben Franklin St
Corrigan, TX 75939-2042 - Phone
- (936) 398-5555
- Fax
- (936) 398-5559
- NPI assigned
- Jan 22, 2024
- Last updated
- Jan 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James R Bledsoe, PA
- Title
- Physician Assistant
- Phone
- (936) 398-5555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
207 W Ben Franklin St
Corrigan, TX 75939-2042
Mailing address
207 W Ben Franklin St
Corrigan, TX 75939-2042
Phone (936) 398-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240207002440 | TX | Part A Provider - Rural Health Clinic | 7517317605 | Practice locations: Corrigan, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1619738101. Details of each certification follow.
Rural health clinic certification: CCN 678948
- Legal name
- CORRIGAN MEDICAL LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 24, 2025
- Last certification
- Sep 24, 2025
- Ownership / control type
- 1C
- Organization structure
- LLC
- Incorporated
- Jun 29, 2023 in TX
- Enrollment address
- 207 W Ben Franklin St
Corrigan, TX 75939-2042
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 DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| James R Bledsoe | 5% Or Greater Direct Ownership Interest | Jun 29, 2023 | 49% |
| Joanna Bledsoe | 5% Or Greater Direct Ownership Interest | Jun 29, 2023 | 51% |
| W-2 Managing Employee | Jun 29, 2023 | 100% | |
| Operational/Managerial Control | Jun 29, 2023 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Medical Physician Assistant
- Corrigan, TX
- NPI 1508902321
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Medical Physician Assistant
- Corrigan, TX
- NPI 1508902321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1619738101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W BEN FRANKLIN ST",
"city": "CORRIGAN",
"state": "TX",
"postal_code": "759392042",
"telephone_number": "936-398-5555",
"fax_number": "936-398-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W BEN FRANKLIN ST",
"city": "CORRIGAN",
"state": "TX",
"postal_code": "759392042",
"telephone_number": "936-398-5555",
"fax_number": "936-398-5559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORRIGAN MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "BLEDSOE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "936-398-5555",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corrigan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.