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2023-173
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2023-173
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Last modified
10/5/2023 11:40:12 AM
Creation date
10/5/2023 11:39:20 AM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
08/29/2023
Control Number
2023-173
Agenda Item Number
8.K.
Entity Name
EMS Management & Consultants, Inc.
Subject
Agreement for Ambulance billing and coding services with MS/MC
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(2) AGENCY may use or disclose protected health information as required by law. <br />(3) AGENCY may not use or disclose protected health information in a manner that would violate Subpart <br />E of 45 CFR Part 164, if done by COUNTY. <br />IN WITNESS WHEREOF, COUNTY and AGENCY have signed this Agreement in duplicate. One counterpart <br />each has been delivered to COUNTY and AGENCY. All portions of the Contract Documents have been signed <br />or identified by COUNTY and AGENCY or on their behalf. <br />This Agreement will be effective on , 20�,3 (the date the Agreement is approved by the <br />Indian River County Board of County Commissioners, which is the Effective Date of the Agreement). <br />COUNTY: <br />INDIAN RIVER COUNTY <br />M <br />Jity 'Fi H. Earfnb"<, hairma <br />By: <br />••�y �OA1M/3S���.,, <br />IZ ✓F�s <br />— R��ER COU`��•. <br />John A. Titkanich, Jr., County Administrator <br />APPROVED TO F N EGAL CIENCY: <br />r <br />By: <br />illiam K. De raal, County Attorney <br />Ryan L. Butler, Clerk of Court and Comptroller <br />Attest: %Awvae��� <br />Deputy Clerk <br />(SEAL) <br />Designated Representative: <br />David Johnson, Emergency Services Director <br />422543 rd Avenue <br />Vero Beach, FL 32967 <br />772-226-3947 <br />djohnson@ircgov.com <br />AGENCY: <br />EMS Management & Consultants, Inc. <br />By: �.. <br />(Contractor) <br />(CORPORATE SEAL) <br />Attest ''i Gyflu <br />Designated Representative: <br />Jay Gyure, CFO <br />2540 Empire Dr., Suite 100, Winston-Salem, NC 27103 <br />336-525-7079 <br />Jay.gyure@emsbilling.com <br />
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