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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: 0035295 II.
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How to fill out idph facility id number

01
Step 1: Obtain the IDPH facility ID number application form from the official website of IDPH.
02
Step 2: Fill out the application form with accurate and complete information.
03
Step 3: Provide all the necessary supporting documents, such as proof of identification and facility ownership.
04
Step 4: Submit the completed application form and supporting documents to the IDPH office either by mail or in person.
05
Step 5: Pay the required application fee as specified by IDPH.
06
Step 6: Wait for the IDPH facility ID number to be issued. This may take several days or weeks.
07
Step 7: Once the IDPH facility ID number is issued, ensure to keep it in a secure place for future reference.

Who needs idph facility id number?

01
Healthcare facilities, such as hospitals, clinics, nursing homes, and assisted living facilities, need an IDPH facility ID number.
02
Other healthcare-related entities, including laboratories, pharmacies, and ambulatory surgical treatment centers, also require an IDPH facility ID number.
03
Additionally, any organization or individual planning to provide health-related services or operate a healthcare facility in the state may need an IDPH facility ID number.
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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 the state of Illinois are required to file for and obtain 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 and provide all required information.
The purpose of idph facility id number is to accurately identify and track healthcare facilities in the state of Illinois for regulatory and reporting purposes.
The information required to be reported on idph facility id number includes facility name, address, type of services provided, ownership information, and contact details.
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