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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: 0025411 II.
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How to fill out IDPH facility ID number:

01
Start by gathering all the necessary information and documentation required for filling out the IDPH facility ID number form.
02
Begin by carefully reading the instructions provided on the IDPH facility ID number form. Familiarize yourself with the requirements and ensure you have all the necessary information.
03
Locate the section on the form that asks for the facility information. Here, you will need to provide details such as the facility name, address, contact information, and any other relevant information as requested.
04
Double-check all the information you have entered to ensure accuracy and completeness. Make sure that there are no spelling or typographical errors.
05
Next, find the section on the form that asks for the facility type. Select the appropriate category that best describes your facility.
06
Look for the section on the form that requires the IDPH facility ID number. Enter the unique ID number provided by the IDPH or leave it blank if you do not yet have one.
07
Answer any additional questions or provide any additional information as requested on the form. This may include details about the facility's services, staff, or other relevant information.
08
Once you have completed all the required sections and provided all the necessary information, review the form one final time to ensure accuracy.
09
Sign and date the form if required and submit it according to the instructions provided. Make sure to keep a copy of the completed form for your records.

Who needs IDPH facility ID number:

01
Healthcare facilities: Hospitals, clinics, nursing homes, long-term care facilities, rehabilitation centers, and other medical facilities may require an IDPH facility ID number.
02
Home healthcare agencies: Agencies providing healthcare services in patients' homes may need an IDPH facility ID number.
03
Emergency medical services (EMS) providers: Ambulance services and other EMS providers may be required to have an IDPH facility ID number.
04
Dialysis centers: Facilities providing dialysis services to patients may need to obtain an IDPH facility ID number.
05
Other healthcare-related entities: Various other healthcare-related entities, such as diagnostic labs, blood banks, and hospices, may also require an IDPH facility ID number.
Please note that the specific requirements for obtaining an IDPH facility ID number may vary depending on the state or region. It is advisable to check with the Illinois Department of Public Health or relevant authority in your area for accurate and up-to-date information.
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The idph facility id number is a unique identification number assigned to healthcare facilities by the Illinois Department of Public Health.
All healthcare facilities operating in Illinois are required to file for an idph facility id number.
Healthcare facilities can fill out the idph facility id number application online through the Illinois Department of Public Health website.
The idph facility id number is used to track and monitor healthcare facilities in Illinois to ensure compliance with regulations and standards.
Healthcare facilities must report basic information such as name, address, type of facility, services offered, and contact information.
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