Individual ProviderScott H GibbonsChiropractorChiropractic ProvidersPractice Address3120 W Belltower Dr, Suite 150, Meridian, ID 83646-7744(208) 846-8898PECOS EnrollmentBased on the most recent information from CMS, provider Scott H Gibbons does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1992830699Provider TypeIndividualFull NameGibbons, Scott HTitleDr.CredentialDCGenderMaleSole ProprietorNoEnumeration Date2/22/2007Last Updated12/5/2014Contact InformationPractice LocationPractice Address3120 W Belltower Dr, Suite 150, Meridian, ID 83646-7744Phone(208) 846-8898Fax(208) 846-8920Mailing LocationMailing Address3120 W Belltower Dr, Suite 150, Meridian, ID 83646-7744Phone(208) 846-8898FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-1199IdahoProvider IdentifiersIDDescriptionIssuerID807659100DescriptionMedicaidIssuerUnlistedHawaii