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FOR BHF USE LL1 2006 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2006) I. DPH Facility ID Number: Facility
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How to fill out IDPH facility ID number:

01
Start by gathering all the necessary information and documents, including your facility's name, address, and contact information.
02
Visit the IDPH website or contact their office to obtain the necessary forms for applying for a facility ID number.
03
Carefully fill out the form, providing accurate and up-to-date information about your facility.
04
Double-check all the details you have entered to ensure accuracy and completeness.
05
If there are any additional requirements or supporting documents needed, make sure to include them with your application.
06
Review the application one last time before submitting it to ensure everything is filled out correctly.
07
Submit the completed application to the IDPH either through mail or electronically, as per their instructions.
08
Wait for the IDPH to process your application. You may be contacted for additional information or clarification if needed.
09
Once your facility ID number is assigned, make sure to keep it safe and use it for any future correspondence with the IDPH.

Who needs IDPH facility ID number:

01
Healthcare facilities: Hospitals, clinics, nursing homes, rehabilitation centers, and other healthcare facilities commonly require an IDPH facility ID number.
02
Ambulatory Surgical Treatment Centers (ASTCs) and Outpatient Surgical Centers (OSCs) also need an IDPH facility ID number.
03
Other healthcare service providers, such as home health agencies and hospice providers, may also require an IDPH facility ID number for licensing and regulatory purposes.
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The IDPH facility ID number is a unique identifier 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.
To fill out an IDPH facility ID number, healthcare facilities must complete the designated application form and submit it to the Illinois Department of Public Health.
The IDPH facility ID number is used to track and monitor healthcare facilities in Illinois to ensure compliance with state regulations and standards.
Healthcare facilities must report information such as facility name, address, type of services offered, and contact information when applying for an IDPH facility ID number.
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