Nevada Code § 474.590

Chapter does not authorize operation of ambulance in any area for which exclusive franchise for ambulance service has been granted by or on behalf of county, city or town
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Nothing
in this chapter authorizes any person, firm, corporation, association,
government, governmental agency or political subdivision of a government to
operate an ambulance in any area for which an exclusive franchise for ambulance
service has been granted:
1. By a county, city or town pursuant to NRS 244.187 , 268.081 or 269.128 , as applicable; or
2. By another person or governmental
entity authorized to do so on behalf of the county, city or town.

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