Organization Active NPI

Corrigan Medical, LLC

  • Rural Health Clinic/Center
  • Corrigan, TX
National Provider Identifier
1619738101
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James R Bledsoe, PANPI 1508902321
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 Directory

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
James R Bledsoe Individual 5% Or Greater Direct Ownership InterestOwner Jun 29, 2023 49%
Joanna Bledsoe Individual 5% Or Greater Direct Ownership InterestOwner Jun 29, 2023 51%
W-2 Managing EmployeeBusiness Manager Jun 29, 2023 100%
Operational/Managerial ControlBusiness Manager 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.

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.

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

Verify at the official NPI Registry.