Get the free IDPH Facility ID Number: Facility Name: 0045435 II - hfs illinois

FOR OH FUSE LL1 2004 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2004) I. DPH Facility ID Number: Facility Name: 0045435

How to fill out idph facility id number

How to fill out IDPH facility ID number:

1. Obtain the IDPH facility ID number form from the Department of Public Health website or local health department office.
2. Fill in your facility's name, address, and contact information at the top of the form.
3. Provide your facility's federal tax identification number or social security number, if applicable.
4. Indicate the type of facility you operate, such as a hospital, nursing home, or clinic.
5. Specify the services or activities offered by your facility.
6. Fill in the total number of beds or units available for patients or residents.
7. Provide information on any licenses or certifications your facility holds, if applicable.
8. If your facility is part of a larger organization, include the parent company's name and ID number.
9. Sign and date the form to certify the accuracy of the information provided.
10. Submit the completed IDPH facility ID number form to the appropriate address or email provided on the form.

Who needs IDPH facility ID number:

1. Healthcare facilities, such as hospitals, nursing homes, and clinics, need an IDPH facility ID number.
2. Assisted living facilities and residential care homes also require an IDPH facility ID number.
3. Ambulatory surgical treatment centers, rehabilitation centers, and psychiatric hospitals need to obtain this ID number as well.
4. Home health agencies, hospice providers, and medical cannabis dispensaries are among other organizations that need an IDPH facility ID number.
5. It is important to check with your local health department or the Department of Public Health to determine if your specific facility or organization requires this ID number.

For pdfFiller’s FAQs

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, facilities must submit an application 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 in order to ensure compliance with regulatory standards.

What information must be reported on idph facility id number?

The IDPH facility ID number typically requires information such as the facility's name, address, type of services provided, and ownership information.

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