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FOR BHF USE LL1 2006 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2006) I. DPH Facility ID Number: Facility
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How to fill out idph facility id number

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How to fill out IDPH facility ID number:

01
Start by obtaining the IDPH facility ID number form from the appropriate authority. This form may be available online or at a local IDPH office.
02
Fill out the basic information required on the form, such as the name of the facility, address, and contact information. Make sure to provide accurate and up-to-date details.
03
Look for the specific field requesting the IDPH facility ID number. This field may be labeled as "Facility ID number" or similar.
04
If you already have an IDPH facility ID number, enter it in the designated field. Ensure that you enter the correct number without any errors.
05
If you do not have an IDPH facility ID number and are applying for one, leave the field blank. The IDPH authority will provide you with a facility ID number once your application is processed.
06
Double-check all the information filled in the form to ensure accuracy and completeness.
07
If required, sign and date the form as per the instructions provided. This step may vary depending on the specific requirements of the IDPH or the authority issuing the facility ID number.
08
Submit the form along with any additional documents or fees required by the IDPH. Follow the provided instructions for submission, whether it involves mailing the form, delivering it in person, or submitting it online through a designated portal.

Who needs IDPH facility ID number:

01
Facilities that fall under the jurisdiction of the Illinois Department of Public Health (IDPH) are generally required to obtain an IDPH facility ID number.
02
This may include healthcare facilities such as hospitals, nursing homes, assisted living facilities, clinics, and other healthcare providers.
03
IDPH facility ID numbers are also required for certain non-healthcare facilities, such as laboratories, daycares, and institutions providing care for individuals with developmental disabilities.
04
It is important to check with the specific IDPH regulations or requirements applicable to your facility type to determine if you need an IDPH facility ID number.
05
Failure to obtain the necessary IDPH facility ID number may result in non-compliance with state regulations and potential penalties.
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IDPH facility ID number is a unique identifier assigned to healthcare facilities in Illinois by the Illinois Department of Public Health.
Healthcare facilities operating in Illinois are required to file for an IDPH facility ID number.
Healthcare facilities can fill out the IDPH facility ID number application online through the Illinois Department of Public Health website or by contacting the department directly.
The purpose of the IDPH facility ID number is to track and monitor healthcare facilities in Illinois to ensure compliance with state regulations and to provide oversight of healthcare services.
The IDPH facility ID number application requires healthcare facilities to provide information such as facility name, address, type of services provided, ownership information, and contact details.
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