Caleb M Scoville | Weatherford, OK • PECOS Search

Caleb M Scoville

Counselor

Behavioral Health & Social Service Providers

300 N State St, Weatherford, OK 73096-5105

PECOS Enrollment

Based on the most recent information from CMS, provider Caleb M Scoville does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1457621427
Provider Type
Individual
Full Name
Scoville, Caleb M
Gender
Male

Sole Proprietor
Yes
Enumeration Date
1/9/2012
Last Updated
1/9/2012

Contact Information

Practice Location

300 N State St, Weatherford, OK 73096-5105

Unlisted Fax

Mailing Location

300 N State St, Weatherford, OK 73096-5105

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer