The US government sponsored a research project to determine the state of emergency medical services in 1965. This resulted in the now famous 1966 White Paper. The US Government, as a result of the 1966 White Paper, developed a basic set of guidelines of what is a land-based ambulance. In brief, an ambulance should be:
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The Health Insurance Portability and Accountability Act (HIPAA) of 1996 requires the adoption of a standard unique identifier for health care providers. The NPI Final Rule issued January 23, 2004, adopted the NPI as this standard. The NPI is a 10-digit, intelligence-free numeric identifier (10-digit number).