Provider Demographics
NPI:1730202789
Name:MONACO & ASSOCIATES INCORPORATED
Entity type:Organization
Organization Name:MONACO & ASSOCIATES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:MONACO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:785-272-5501
Mailing Address - Street 1:4123 SW GAGE CENTER DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1655
Mailing Address - Country:US
Mailing Address - Phone:785-272-5501
Mailing Address - Fax:785-272-5152
Practice Address - Street 1:4123 SW GAGE CENTER DR
Practice Address - Street 2:SUITE 130
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1655
Practice Address - Country:US
Practice Address - Phone:785-272-5501
Practice Address - Fax:785-272-5152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100294570AMedicaid