Pack Family Clinic, PLLC
NPI 1124531736ActiveOrganization· Family Medicine· Ada, OK
Family Medicine in Ada, Oklahoma, registered in NPPES in November 2017. The authorized official on file is Valerie M. Pack, DO, Family Physician.
Overview
| NPI | 1124531736 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2017 |
| Last updated in NPPES | Aug 23, 2021 |
| Certified by provider | Aug 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 5857 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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