OrganizationActive
Pack Family Clinic, PLLC
NPI 1124531736 · Family Medicine Physician · Ada, OK
Pack Family Clinic, PLLC is a Family Medicine Physician organization in Ada, OK (NPI 1124531736).
Provider details
- NPI number
- 1124531736
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Valerie Pack, Family Physician(918) 728-4942
- License
- 5857 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1509 Augusta Dr
Ada, OK 74820-8576
Phone: (918) 728-4942
Fax: (918) 770-8456
Street-level locationGet directions
Mailing address
1509 Augusta Dr
Ada, OK 74820-8576
Other names (DBA / former)
- Doing business as
- Family Physician
Registry dates
- Enumerated
- 2017-11-06
- Last updated
- 2021-08-23
- Certified
- 2021-08-23
Frequently asked questions
- What is Pack Family Clinic, PLLC's NPI number?
- Pack Family Clinic, PLLC's National Provider Identifier (NPI) is 1124531736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pack Family Clinic, PLLC?
- Pack Family Clinic, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pack Family Clinic, PLLC located?
- Pack Family Clinic, PLLC's practice location on file with NPPES is 1509 Augusta Dr, Ada, OK 74820-8576.
- What is Pack Family Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pack Family Clinic, PLLC is (918) 728-4942.
- Who is the authorized official for Pack Family Clinic, PLLC?
- The authorized official listed on Pack Family Clinic, PLLC's NPPES record is Valerie Pack, Family Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pack Family Clinic, PLLC's NPI active?
- Yes — Pack Family Clinic, PLLC's NPI (1124531736) is active in the NPPES registry as of the last update on 2021-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.