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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: 0042374 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 IDPH website or local health department.

02

Step 2: Fill in the required information, including the facility name, address, and contact details.

03

Step 3: Provide the necessary documentation or proof of compliance with IDPH regulations.

04

Step 4: Submit the completed form along with any supporting documents to the IDPH or local health department.

05

Step 5: Wait for the IDPH to review the application and assign a Facility ID number.

06

Step 6: Once the IDPH Facility ID Number is issued, ensure it is prominently displayed in the facility.

Who needs idph facility id number?

01

Healthcare facilities such as hospitals, nursing homes, clinics, and other medical service providers need an IDPH Facility ID Number.

02

Residential facilities such as long-term care facilities, group homes, and assisted living facilities also require an IDPH Facility ID Number.

03

Additionally, laboratories, ambulatory surgical centers, and other healthcare-related entities may need to obtain an IDPH Facility ID Number.

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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 must submit a registration form to the Illinois Department of Public Health.

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?

The information required to be reported on an IDPH facility ID number includes the facility's name, address, type of services provided, and contact information.

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