Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

South Shore Surgicenter LLC

Ambulatory Surgical Clinic/Center in League City, TX · enumerated 2007 · authorized official Charles Polsen, Proprietor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336272665

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name South Shore Surgicenter LLC

Practice address 2622 Marina Bay Drive, League City, TX, 77573

Phone (281) 538-6600

Fax (281) 535-2800

Enumeration date Mar 14, 2007

Last updated in NPPES Jan 2, 2013

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 130038 (TX) Primary

Authorized official

Name Charles Polsen

Title Proprietor

Phone (281) 538-6600

Other identifiers

Identifier	Type	State	Issuer
OOO2CU	Other	TX	BLUE CROSS/BLUE SHIELD OF TEXAS PROVIDER ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-01-02. Verify at npiregistry.cms.hhs.gov.

Where is South Shore Surgicenter LLC located?

The practice location on file with NPPES is in League City, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-02.