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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NPIs are a unique, 10-digit, sequentially assigned national identification number that are mandated by HIPAA to be used by health care providers, health plans, and health care clearinghouses in all administrative and financial HIPAA transactions. NPIs are routinely assigned only to medical providers.