NPI 1194147850

Packham Insurance Agency

Organisation Supports Brokerage Agency Blackfoot, ID

Practice location

Address: 17 S Broadway St, Blackfoot, ID 83221-2710
Phone: (208) 785-2525
Fax: (208) 785-2526
Mailing address: PO Box 39, Blackfoot, ID 83221-0039

Authorised official

Name: Scott O. Packham
Title: Agency Owner
Phone: (208) 785-2525

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 13001 (ID)

Other Supports Brokerage providers in Idaho →

Registry record

NPI: 1194147850
Entity type: Organization
NPI issued: 15 Jan 2014
Record last updated: 15 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.