P Praxis·MD
● Active Type 2 · Organization

Packham Insurance Agency

Supports Brokerage·Blackfoot, ID· NPI 1194147850 · Enumerated 2014 · 12 years on NPI
Packham Insurance Agency is 1 of 3 supports brokerage organizations in Idaho.
NPI age
12 years
Enumerated 2014-01-15
Primary specialty
Supports Brokerage
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Packham
Agency Owner
Last NPPES update
2014-01-15
Source: monthly bulk 2026-05

How this organization compares

Across 3 active supports brokerage providers in Idaho.

NPI age
12 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-01Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
17 S Broadway St
Blackfoot, ID 832212710
📞 2087852525fax 2087852526
Mailing address
Po Box 39
Blackfoot, ID 832210039
📞 2087875252fax 2087852526

Authorized official

Scott O. Packham
Agency Owner
📞 2087852525

Specialties

  • Supports Brokerage Primary
    A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the...
    ID license #13001 taxonomy 251X00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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