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2022-257B
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2022-257B
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Entry Properties
Last modified
2/7/2023 11:05:25 AM
Creation date
2/7/2023 11:01:54 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Certificate
Approved Date
12/13/2022
Control Number
2022-257B
Agenda Item Number
10.A.2.
Entity Name
East Coast Ambulance, LLC
Subject
Class B & C Certificate of Public Convenience and Necessity
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Mi. 11 IN k I If, I <br />�••i <br /><, ► <br />. INDIAN• UNTY <br />aCLASS'61393 & "C99 <br />f <br />*A11 <br />CERTIFICATE OF • <br />.n <br />WHEREAS, East Coast Ambulance, LLC has requested authorization to provide non-emergency ambulance <br />inter-facility medical transport at the ALS/BLS level (Class B) and provide non-emergency ambulance inter- <br />facility medical transports which require special clinical capabilities and require a physician's order (Class C.) <br />:WHEREAS,-above <br />A <br />�y- <br />- •service • •- - requirements of <br />(� <br />c <br />Indian- • •.- ••• - .•- II -Services.)•••4M, <br />THEREFORE, the Indian River County Board of County Commissioners hereby issue a Class "B" & "C" <br />.�•'1 <br />of Public Convenience . Necessity • . Company. <br />f <br />_ •_ CLASS • • <br />Certificate • <br />gy�y <br />i {••� � <br />�-sfYr <br />Date of Expiration- December 13, 2024 <br />yy <br />(Unless certificate s sooner revoked <br />S.IJ� <br />Limitations:Non-Emergency <br />Yw <br />Transport also special clinical capabilities requiring Date Issued: Decemb <br />WMI <br />a physicians order. <br />K <br />4 <br />Joe Earman,(48i�air <br />W <br />•��yy`'t <br />W <br />Y <br />t ��� <br />) I'i •� � �,, �, _�r_ <br />�'�iQ�Y•' �•i, •a <br />��t �• A� 4~An.�(� �w 1Y �w �w Aww •�w �w �p �F jT <br />�r��' . _ �--` w� ♦ ilii/��—_� kW. f. V—TiT�yT�ai/fiPr/. �.®ii ♦ �iN••��•__� <br />- • j-)TO <br />WIN <br />. ♦�IJJ� <br />
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