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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: 0040444 II.
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How to fill out idph facility id number

How to fill out idph facility id number
01
Step 1: Obtain the IDPH Facility ID Number form from the official IDPH website or through a local IDPH office.
02
Step 2: Fill in your personal information such as name, address, and contact details in the designated fields.
03
Step 3: Provide information about the facility, including its name, address, and type of facility.
04
Step 4: Ensure that all required fields are completed accurately and legibly.
05
Step 5: Attach any supporting documents or certificates as requested by the IDPH.
06
Step 6: Double-check all the provided information for accuracy and completeness.
07
Step 7: Submit the completed IDPH Facility ID Number form either online or by mail to the designated IDPH office.
08
Step 8: Wait for the IDPH to review and process your application. You may be contacted for additional information if needed.
09
Step 9: Once approved, you will receive your IDPH Facility ID Number, which you can use for various purposes as required.
Who needs idph facility id number?
01
Any individual or organization operating a facility that falls under the jurisdiction of the Illinois Department of Public Health (IDPH) needs an IDPH Facility ID Number.
02
This includes healthcare facilities, such as hospitals, nursing homes, clinics, and laboratories.
03
Additionally, any individual or organization involved in providing healthcare services, managing healthcare facilities, or conducting research in Illinois may be required to obtain an IDPH Facility ID Number.
04
The IDPH Facility ID Number is important for regulatory compliance, data reporting, and ensuring the quality of healthcare services provided within the state.
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What is idph facility id number?
The idph facility id number is a unique identifier assigned to healthcare facilities by the Illinois Department of Public Health.
Who is required to file idph facility id number?
All healthcare facilities operating 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 can contact the Illinois Department of Public Health for the necessary forms and instructions.
What is the purpose of idph facility id number?
The purpose of the idph facility id number is to track and monitor healthcare facilities in Illinois for regulatory and oversight purposes.
What information must be reported on idph facility id number?
Information such as facility name, address, contact information, type of services provided, and ownership details must be reported on the idph facility id number form.
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