| Organization Name: | BOILING SPRINGS FAMILY MEDICINE |
| NPI Number: | 1295163095 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHAD JUMPER (PHYSICIAN) |
| Mailing Address: | 210 Forge Rd Suite 2 Boiling Springs |
| State: | PA US |
| Postal Code: | 170079787 |
| Phone Number: | 7172498300 |
| Fax Number: | 7172498301 |
| NPI Enumeration Date: | 10/15/2013 |
| NPI Last Update Date: | 10/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA054371 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |