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FOR OH FUSE LL1 2004 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2004) I. DPH Facility ID Number: Facility Name: 0005009 II.
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How to fill out idph facility id number

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How to fill out idph facility ID number:

01
Obtain the necessary forms: Visit the Illinois Department of Public Health (IDPH) website or contact their office to obtain the appropriate forms for filling out the facility ID number.
02
Gather required information: Collect all the necessary information required to complete the application form. This may include the facility's name, address, contact details, types of services provided, and any other relevant details as specified by IDPH.
03
Complete the application form: Fill out the application form accurately and provide all the required information. Make sure to double-check the form for any errors or missing information before submitting it.
04
Submit the application: Once the form is completed, submit it to the IDPH through the designated submission method, whether it's online, mail, or in-person delivery. Follow the instructions provided by IDPH in regards to the submission process.
05
Wait for confirmation: After submitting the application, wait for the IDPH to process it. Typically, they will review the application and assign a facility ID number to the applicant.
06
Receive the IDPH facility ID number: Once the application is approved, the IDPH will issue a facility ID number to the applicant. This number serves as a unique identifier for the facility, allowing the IDPH to keep track of healthcare providers and facilities in Illinois.

Who needs IDPH facility ID number:

01
Healthcare facilities: Hospitals, nursing homes, assisted living facilities, clinics, and other healthcare facilities in Illinois are required to have an IDPH facility ID number.
02
Healthcare providers: Individual healthcare providers, such as doctors, nurses, therapists, and other healthcare professionals, who operate independently or within a facility, may need to obtain an IDPH facility ID number depending on the services they provide.
03
Home healthcare agencies: Home healthcare agencies that provide medical or non-medical services to patients in their homes are also required to have an IDPH facility ID number in Illinois.
Remember, it is essential to review and consult the specific guidelines and requirements provided by the IDPH to ensure accurate completion of the facility ID number application.
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The IDPH Facility ID Number is a unique identifier assigned to healthcare facilities in Illinois by the Illinois Department of Public Health.
All healthcare facilities in Illinois are required to file for an IDPH Facility ID Number.
To fill out an IDPH Facility ID Number, healthcare facilities can submit an application through the Illinois Department of Public Health's website or by contacting the IDPH directly.
The purpose of the IDPH Facility ID Number is to help the Illinois Department of Public Health monitor and track healthcare facilities in the state.
Healthcare facilities must report basic information such as name, address, type of facility, and contact information when applying for an IDPH Facility ID Number.
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