CMS-1500 Box 24J / 33a • NPI
1831495530
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
247200000X (CMS 75)
Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other
Box 32 Service Location & ZIP+4
1821 SOUTH AVE W, 404, MISSOULA, MT, 59801-6517
✓ 9-Digit EDI 837 ZIP+4 (59801-6517)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1831495530 (DEETTE BALFOURD, CPCP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1831495530 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DEETTE BALFOURD, CPCP |
| Plain-English Specialty | Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other NUCC Code: 247200000X (Technician, Other) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1821 SOUTH AVE W, 404, MISSOULA, MT, 59801-6517 |
| Practice Telephone / Fax | Tel: (406) 370-3705 |
| Administrative Mailing Address | 382 STAGECOACH TRL, FLORENCE, MT, 59833-6981 |
| Enumeration & Last Sync | Enumerated: 2011-01-28 | CMS Record Updated: 2011-01-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (247200000X)
What Does Taxonomy Code 247200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 247200000X translates to:
"Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DEETTE BALFOURD, CPCP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
247200000X — Technician, OtherPlain English: Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other | State: MT | License: 10049 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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