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FOR OH FUSE LL1 2001 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2001) I. DPH Facility ID Number: Facility Name: 0036004 II.
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How to fill out idph facility id number

01
To fill out the IDPH Facility ID Number, follow these steps:
02
Obtain the IDPH Facility ID Number form from the IDPH website or your local health department.
03
Read the instructions carefully to understand the requirements.
04
Gather all the necessary documents and information that will be required to complete the form.
05
Start filling out the form by entering your facility's basic information such as name, address, and phone number.
06
Enter the specific details about your facility, such as the type of facility, services provided, and number of beds/rooms.
07
Provide any additional information or supporting documents as requested.
08
Double-check all the entered information for accuracy and completeness.
09
Sign the form where indicated, and date it as well.
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Submit the completed form along with any required fees or supporting documents as specified in the instructions.
11
Await confirmation and approval from the IDPH regarding your facility ID number. Keep a copy of the submitted form for your records.

Who needs idph facility id number?

01
The IDPH Facility ID Number is required for anyone operating or planning to operate a healthcare facility in the state of Illinois.
02
This includes hospitals, nursing homes, assisted living facilities, clinics, and other healthcare service providers.
03
Additionally, any facilities seeking accreditation or certification from regulatory bodies may need to obtain an IDPH Facility ID Number as part of the process.
04
It is important to contact the Illinois Department of Public Health or your local health department to determine if your specific facility requires 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 an IDPH facility ID number.
To fill out an IDPH facility ID number, healthcare facilities must go to the IDPH website and complete the online application form.
The purpose of the IDPH facility ID number is to provide a standardized way to identify and track healthcare facilities in Illinois.
The IDPH facility ID number application requires information such as facility name, address, type of facility, and contact information.
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