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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: 0032961 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
Start by gathering all the necessary information and documents required to fill out the IDPH facility ID number form. This may include your facility's legal name, address, contact information, and any relevant licenses or certifications.
02
Begin filling out the form by entering your facility's legal name in the designated space. Make sure to double-check the spelling and accuracy.
03
Proceed to input your facility's address, including the street name, city, state, and zip code. Again, ensure the information is correct and up to date.
04
If applicable, provide any additional contact information requested, such as a phone number or email address, preferably one that is regularly monitored.
05
Review the form thoroughly to ensure all the required fields are completed accurately. If there are any optional sections, decide if you want to include the information or leave it blank.
06
Once you are confident that all the necessary information has been provided, sign and date the form as required. If multiple signatures are required, make sure each individual signs their respective sections.
07
Finally, double-check the completed form for any errors or missing information. It is always a good idea to make a copy of the filled-out form for your records before submitting it.

Who needs idph facility id number:

01
Healthcare facilities: Hospitals, clinics, nursing homes, and other healthcare providers may require an IDPH facility ID number to comply with regulatory requirements and to ensure proper identification and tracking of healthcare facilities.
02
Rehabilitation centers: Facilities that provide physical therapy, occupational therapy, or other specialized rehabilitation services may need an IDPH facility ID number to operate legally and meet industry standards.
03
Long-term care facilities: Assisted living facilities, hospices, and other long-term care establishments may be required to have an IDPH facility ID number to ensure quality care and regulatory compliance.
04
Other healthcare-related organizations: Some organizations or institutions that are involved in healthcare services, such as laboratories or research facilities, may also require an IDPH facility ID number.
It is important to note that the specific requirements for obtaining an IDPH facility ID number may vary depending on your location and the type of facility. It is recommended to contact the relevant state regulatory agency or IDPH office for accurate and up-to-date information on the process.
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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.
To fill out an idph facility id number, healthcare facilities must submit the required information online through the IDPH website.
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 the facility's name, address, type of facility, services provided, and contact information.
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