CRISP REGIONAL HOSPITAL
NPI 1790076966
General Acute Care Hospital - Women in Cordele, GA

Active since April 22, 2011
910 N 5TH ST, CORDELE, GA 31015(229) 271-4600 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • General Acute Care Hospital
  • Women

About CRISP REGIONAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Crisp Regional Hospital, a provider established in Cordele, Georgia operating as a General Acute Care Hospital, focusing in women . The healthcare provider is registered in the NPI registry with number 1790076966 assigned on April 2011. The practitioner's primary taxonomy code is 282NW0100X with license number 65938 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Samantha Dahlia Boreland Md,mhsa (Obstetrician/gynecologist)

NPI
1790076966 Verify this NPI
Provider Name
CRISP REGIONAL HOSPITAL
Entity Type
Organization
Location Address
910 N 5TH ST CORDELE, GA 31015
Location Phone
(229) 271-4600
Mailing Address
910 N 5TH ST CORDELE, GA 31015
Mailing Phone
(229) 271-4600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2011
Last Update Date
04-22-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Women

Taxonomy Code
282NW0100X
Type
Hospitals
License No.
65938
License State
GA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SAMANTHA DAHLIA BORELAND MD,MHSA

Authorized Official Title
OBSTETRICIAN/GYNECOLOGIST
Authorized Official Phone
(229) 276-3101

Reviews for CRISP REGIONAL HOSPITAL

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Hospice Care, Community Based
910 N 5TH ST
CORDELE, GA 31015
Internal Medicine
910 N 5TH ST
CORDELE, GA 31015
Internal Medicine (Gastroenterology)
910 N 5TH ST
CORDELE, GA 31015
Obstetrics & Gynecology
910 N 5TH ST
CORDELE, GA 31015
Obstetrics & Gynecology
910 N 5TH ST
CORDELE, GA 31015
Pain Medicine (Interventional Pain Medicine)
910 N 5TH ST, SUITE D
CORDELE, GA 31015
Home Health
910 N 5TH ST
CORDELE, GA 31015
Orthopaedic Surgery
910 N 5TH ST
CORDELE, GA 31015
Home Health
910 N 5TH ST
CORDELE, GA 31015
Orthopaedic Surgery
910 N 5TH ST
CORDELE, GA 31015
Urology
910 N 5TH ST
CORDELE, GA 31015
Otolaryngology
910 N 5TH ST
CORDELE, GA 31015
Nurse Practitioner (Family)
910 N 5TH ST
CORDELE, GA 31015
Nurse Practitioner (Gerontology)
910 N 5TH ST
CORDELE, GA 31015
Pain Medicine (Interventional Pain Medicine)
910 N 5TH ST, SUITE D
CORDELE, GA 31015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790076966, enumerated as an "organization" on April 22, 2011.

The provider is located at 910 N 5TH ST CORDELE, GA 31015 and the phone number is (229) 271-4600.

General Acute Care Hospital with taxonomy code 282NW0100X and a focus in Women.