Healthcare Provider Details

I. General information

NPI: 1528984192
Provider Name (Legal Business Name): SNOW PAW TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 E INDIANA AVE
COEUR D ALENE ID
83814-2902
US

IV. Provider business mailing address

108 E INDIANA AVE
COEUR D ALENE ID
83814-2902
US

V. Phone/Fax

Practice location:
  • Phone: 253-973-4649
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM CHECCA
Title or Position: CEO
Credential:
Phone: 253-973-4649