=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164378972
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | IRONMC ENTERPRISES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2026
-----------------------------------------------------
Last Update Date | 03/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 119 NORTH EAGLE DRIVE
-----------------------------------------------------
City | RUIDOSO
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88345
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-480-7170
-----------------------------------------------------
Fax | 575-808-8660
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 119 NORTH EAGLE DRIVE
-----------------------------------------------------
City | RUIDOSO
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88345
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-480-7170
-----------------------------------------------------
Fax | 505-480-7170
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. MYRON E COX
-----------------------------------------------------
Credential | COX
-----------------------------------------------------
Telephone | 505-480-7170
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171WH0202X
-----------------------------------------------------
Taxonomy Name | Home Modifications Contractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------