# CHARLES H. HUBER, M.D.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972720365
- **Authorized official:** DR. CHARLES H HUBER MD (OWNER)
- **Authorized official phone:** (502) 419-1109

## Contact information

- **Practice address:** 3901 GREENHAVEN LN, GOSHEN, KY 40026-8755
- **Practice address phone:** (502) 419-1109
- **Practice address fax:** (502) 222-6116
- **Mailing address:** PO BOX 236, GOSHEN, KY 40026-0236
- **Mailing address phone:** (502) 419-1109
- **Mailing address fax:** (502) 222-6116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | 151384 | KY | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000045756 | ANTHEM PROVIDER NUMBER | KY |
| 01 | — | 0700276 | UHC PROVIDER NUMBER | KY |
| 01 | — | 1049936 | PASSPORT PROVIDER NUMBER | KY |