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FOR OH FUSE LL1 2003 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2003) I. DPH Facility ID Number: Facility Name: 0041012 II.

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How to fill out idph facility id number

01

Step 1: Obtain the IDPH facility ID number form from the official IDPH website.

02

Step 2: Fill out all the required information accurately on the form. This may include the facility name, address, contact information, and other relevant details.

03

Step 3: Ensure that you have provided any necessary supporting documents or certifications, as specified by IDPH.

04

Step 4: Double-check all the information you have entered on the form for accuracy and completeness.

05

Step 5: Submit the completed form along with any supporting documents to the designated IDPH facility ID number processing center.

06

Step 6: Wait for the IDPH facility ID number to be processed. You may receive a confirmation or further instructions from IDPH via email or mail.

07

Step 7: Once you have received your IDPH facility ID number, make sure to keep it in a safe and easily accessible place as you may need to provide it for various administrative purposes.

Who needs idph facility id number?

01

Healthcare facilities: Hospitals, clinics, nursing homes, home health agencies, etc., are required to obtain an IDPH facility ID number.

02

Healthcare professionals: Individual healthcare practitioners such as doctors, nurses, therapists, etc., may need an IDPH facility ID number if they are operating their own facilities.

03

Healthcare service providers: Companies or organizations offering healthcare services, such as medical testing laboratories, rehabilitation centers, and hospice care facilities, may require an IDPH facility ID number.

04

Certain healthcare programs: Programs or services funded or regulated by IDPH, such as public health initiatives or grant-funded projects, may necessitate an IDPH facility ID number for proper identification and documentation.

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What is idph facility id number?

IDPH facility ID number is a unique identification number assigned to healthcare facilities in Illinois by the Illinois Department of Public Health.

Who is required to file idph facility id number?

All healthcare facilities in Illinois are required to file for an IDPH facility ID number.

How to fill out idph facility id number?

To fill out an IDPH facility ID number, healthcare facilities need to submit an application form provided by the Illinois Department of Public Health.

What is the purpose of idph facility id number?

The purpose of IDPH facility ID number is to uniquely identify healthcare facilities in Illinois for regulatory and reporting purposes.

What information must be reported on idph facility id number?

Healthcare facilities need to report basic information such as facility name, address, type of services provided, and contact information on the IDPH facility ID number.

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