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SOUTH SHORE SURGICENTER LLC
NPI 1336272665
Clinic/Center - Ambulatory Surgical in League City, TX

Active since March 14, 2007
2622 MARINA BAY DRIVE, LEAGUE CITY, TX 77573(281) 538-6600(281) 535-2800 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Shore Surgicenter Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE SURGICENTER LLC (NPI 1336272665) is a healthcare organization registered as an ambulatory surgical in League City, Texas and active in the NPI registry since March 2007. The organization lists Charles Polsen, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1336272665
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH SHORE SURGICENTER LLC
Location Address2622 MARINA BAY DRIVELeague City, TX 77573-6506
Mailing Address2622 Marina Bay DriveLeague City, TX 77573-6506 · (281) 538-6600 · Fax (281) 535-2800
Phone(281) 538-6600
Fax(281) 535-2800
Organization SubpartNo
Authorized OfficialCharles PolsenProprietor · (281) 538-6600
Enumeration DateMarch 14, 2007
Last NPPES UpdateJanuary 2, 2013
✔ NPI 1336272665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in TX · 130038
2622 MARINA BAY DRIVE, League City, TX 77573
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Other Identifiers 3

OtherOOO2CUTX · Blue Cross/blue Shield Of Texas Provider Id
Medicare UPINF69965TX
Medicare PIN000843DTX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Shore Surgicenter LLC's NPI number?

The NPI number for South Shore Surgicenter LLC is 1336272665. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is South Shore Surgicenter LLC located?

South Shore Surgicenter LLC is located at 2622 Marina Bay Drive, League City, TX 77573. The listed phone number is (281) 538-6600.

What is South Shore Surgicenter LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for South Shore Surgicenter LLC was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.