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INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT Agreement No: ADHS17133164ARIZONA DEPARTMENT OF HEALTH SERVICES 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 (602) 5421040 (602) 5421741 Amendment

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Step 1: Open the contact form for Arizona EMS

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Step 2: Fill in your personal information such as your name, address, and phone number

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What is contact - arizona ems?

Contact - Arizona EMS is a form that needs to be filled out by certain healthcare providers in Arizona.

Who is required to file contact - arizona ems?

Healthcare providers in Arizona are required to file Contact - Arizona EMS.

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Contact - Arizona EMS can be filled out electronically or on paper, following the instructions provided.

What is the purpose of contact - arizona ems?

The purpose of Contact - Arizona EMS is to collect information on healthcare providers to improve emergency medical services.

What information must be reported on contact - arizona ems?

Contact - Arizona EMS requires reporting of provider information, services offered, and contact details.

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