Form preview

Get the free IDPH Facility ID Number: - illinois

Get Form
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: 0040295 II.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign idph facility id number

Edit
Edit your idph facility id number form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your idph facility id number form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing idph facility id number online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Sign into your account. In case you're new, it's time to start your free trial.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit idph facility id number. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, dealing with documents is always straightforward. Now is the time to try it!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out idph facility id number

Illustration

How to fill out idph facility id number

01
Step 1: Obtain the IDPH Facility ID Number form
02
Step 2: Fill out the form with the required information such as facility name, address, contact details, and any other relevant details
03
Step 3: Double-check your entries for accuracy and completeness
04
Step 4: Submit the completed form to the appropriate IDPH office or online portal
05
Step 5: Wait for the IDPH Facility ID Number to be assigned
06
Step 6: Keep the assigned IDPH Facility ID Number for future reference and use

Who needs idph facility id number?

01
Healthcare facilities such as hospitals, clinics, nursing homes, and other medical service providers require an IDPH Facility ID Number.
02
Public health agencies, government organizations, and regulatory bodies may require healthcare facilities to have an IDPH Facility ID Number for monitoring, reporting, and compliance purposes.
03
Healthcare providers who participate in Medicaid and Medicare programs also need an IDPH Facility ID Number.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
48 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

When you're ready to share your idph facility id number, you can swiftly email it to others and receive the eSigned document back. You may send your PDF through email, fax, text message, or USPS mail, or you can notarize it online. All of this may be done without ever leaving your account.
You may quickly make your eSignature using pdfFiller and then eSign your idph facility id number right from your mailbox using pdfFiller's Gmail add-on. Please keep in mind that in order to preserve your signatures and signed papers, you must first create an account.
You can easily create and fill out legal forms with the help of the pdfFiller mobile app. Complete and sign idph facility id number and other documents on your mobile device using the application. Visit pdfFiller’s webpage to learn more about the functionalities of the PDF editor.
The IDPH Facility ID Number is a unique identification number assigned to healthcare facilities 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 must submit an application form provided by the Illinois Department of Public Health.
The purpose of the IDPH Facility ID Number is to help the Illinois Department of Public Health track and monitor healthcare facilities in the state.
Healthcare facilities must report basic information such as facility name, address, type of facility, and contact information when applying for an IDPH Facility ID Number.
Fill out your idph facility id number online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.