Shoshone County EMS Corporation

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Shoshone County EMS Corporation

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Billing questions

If you have questions regarding your billing or payments 

 please contact:


SYSTEMS DESIGN EMS


(800) 585.5242
(360) 394.7099 Fax
19265 Powder Hill Place NE
Poulsbo, WA 98370 

Take me to Systems Design EMS

Billing and Patient Records Forms



Advanced Benificiary Notice ABN (pdf)

Download

Physician's Certification Statement - PCS (pdf)

Download

Ambulance Records release (pdf)

Download

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