MEDICARE: HIGGINS LIPSCOMB HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number	:	1649142928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGGINS LIPSCOMB HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 291
Second Line	:
City	:	HIGGINS
State	:	TX
Zip	:	79046-0291
Country	:	US
Telephone Number	:	580-827-0411
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 COMMERCIAL ST
Second Line	:
City	:	HIGGINS
State	:	TX
Zip	:	79046
Country	:	US
Telephone Number	:	580-827-0115
Fax Number	:

Authorized Official
Title or Position	:	BILLING COORDINATOR
Name	:	DENISE LONGHOFER
Credential	:
Telephone Number	:	580-827-0411

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	11/19/2025

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