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can a city volunteer fire and rescue dept. have an ambulance service for 911 with out a certificate of need?
So long as a person or department have went through the certification to operate an ambulance in your State than it is difficult to restrict them without taking them to the certifying agency in your State. Restriction of trade is a Federal Law somewhere and you can't do it - at least not for long once lawyers get involved. Anyone can operate an ambulance if they meet your State and Local rules. So long as the rules are the same for everyone is the only way you can get around restriction of trade. There are places that have laws that the municipalities run the EMS but I have seen them fall to restriction of trade as well.
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