Healthspan Direct Primary Care LLC
Organization Active NPI Primary Care Clinic/Center · La Belle, MO
NPI 1962299495 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1962299495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- HEALTHSPAN DIRECT PRIMARY CARE LLC
- Practice address
- 1000 Central St
La Belle, MO 63447-2092 - Phone
- (660) 213-3245
- NPI assigned
- Apr 21, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Aaron Neisen, DO
- Title
- Founder
- Phone
- (217) 242-9966
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2309301 | Healthspan Direct Primary Care LLC | Certificate of waiver | Aug 12, 2026 |
National Provider Directory
Locations
1000 Central St
La Belle, MO 63447
Phone (660) 213-3245
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
1000 Central St
La Belle, MO 63447-2092
Mailing address
1000 Central St
La Belle, MO 63447-2092
Phone (660) 213-3245
Other providers in La Belle, MO
All providers in La Belle, MO · Primary Care Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.