Exhibit 3.130

                         CERTIFICATION OF INCORPORATION
                                       OF
                      PARK AMBULANCE & OXYGEN SERVICE, INC.

We, the undersigned, for the purpose of forming a corporation, pursuant to
Section 402 of the Business Corporation Law of the State of New York, do hereby
certify:

FIRST: The name of the Corporation is PARK AMBULANCE & OXYGEN SERVICE, INC.

SECOND: The purposes for which the corporation is formed are:

(a) To operate, conduct and maintain a general ambulance business for the
transportation of injured, infirm, sick and disabled persons, and to do all
other things properly appertaining and belonging to said business;

(b) To design, patent, manufacture, buy, rent, lease, sell, exchange, import,
export and generally deal and trade in any and all kinds of medical, surgical,
hospital and drug supplies, furnishings, instruments, appliances, apparatus and
equipment;

(c) To operate, conduct and maintain the general business of buying, selling,
leasing, servicing and renting necessary supplies and equipment for hospitals
and sickrooms, private and public, all devices, appliances, furnishings useful
and usable in and about hospitals, clinics, doctors, offices, dentists' offices
and for the care and treatment of the sink and ailing, including x-ray and
therapy equipment, surgical instruments ......, anesthetics, disinfectants,
bandages, ......... drugs and medicines;

(d) To design, patent, manufacture, buy, rent, lease, sell, exchange, import,
export and generally deal in any and all kinds of apparatus, appliances, and
accessories incidental, useful and convenient to the practice of oxygen therapy;
to install, service, repair, regulate and operate, insofar as may be permitted
by law, the aforementioned apparatus, appliances and accessories;

(e) To manufacture, buy, sell, lease, deal and trade in oxygen, oxygen tents and
chambers, and in any and all resuscitative media of every kind and description,
containers thereof and administrative apparatus;

(f) To construct, purchase, lease or otherwise acquire, equip, maintain and
operate laboratories to carry on experimental and research work for the
improvement of oxygen therapy apparatus and treatments and of any other surgical
instruments, hospital and sickroom supplies and equipment usable and useful in
conjunction with any phase of its business;

(g) To purchase, lease and otherwise acquire, own and operate motor vehicles and
transportation equipment of all types, including trucks, tractors, trailers,
passenger cars and ambulances, and to carry a general trucking, transfer, cab
and cartage business, including the hauling, transporting and delivery of any
hospital and sickroom supplies, apparatus, accessories and equipment and any and
all merchandise which may be necessary or convenient to the



conduct of the business of the corporation; to lease or rent for hire motor
vehicles of all types to other persons and corporations for any legal purpose
and to furnish chauffeurs, drivers, helpers and other employees to other
corporations, firms or individuals in connection with the operation of motor
vehicles, equipment of any kind, owned leased, hired or under the control of
such other corporations, firms or Individuals.

(h) To apply for, obtain, register, purchase, lease or otherwise acquire and to
hold, use, own, operate and introduce and to sell, assign, transfer or otherwise
dispose of any trademarks, trade names, patents, inventions, licenses,
improvements and ________ used in connection with or secured under Letters
________, or otherwise to turn to account of such trademarks, patents, licenses,
processes and the like for ________, or rights;

(i) To own, buy, sell, rent, lease, build, maintain and operate buildings,
storage houses and garages for the storing, caring for and keeping for hire
therein automobiles, taxicabs, motor cars, motor trucks and vehicles of every
kind, nature and description;

(j) To buy, sell, lease, exchange, and hold real estate in the State of New York
and elsewhere;

(k) To execute bonds and mortgages upon real estate;

(l) To borrow money for its corporate purposes and to execute its obligations
therefore;

(m) To borrow money upon real estate and other securities;

(n) To buy, sell and hold stocks and bonds of other corporations;

(o) To make contracts for the erection of buildings;

(p) To establish and maintain branch offices in any part of the State of New
York and other states of the United States of America;

(q) The foregoing enumeration of specific powers shall not be held to limit or
restrict the general powers confirmed by the laws of the State of New York; and
it is hereby expressly provided that the foregoing specific powers shall not be
held to restrict or limit in any manner the powers of this corporation and that
this corporation may do all and everything necessary, suitable or proper for the
accomplishment of any of its purposes or objects hereinbefore enumerated either
along or in association with other corporations, firms or individuals to the
same extent and as fully as individuals might or could do as .... agents or
otherwise.

THIRD: The... of shares shall be two hundred (200)

[ILLEGIBLE]



Name             Post Office Address
- ----             -------------------
              
Fred Ruggiero    212 Lincoln Ave., Eastchester,



                                        2




              
                 New York
Frank Ruggiero   82 Fairway Drive, Eastchester,
                 New York


In witness whereof, we have made and signed this certificate in duplicate, this
23 day of July, 1964.


/s/ Fred Ruggerio              (L.S.)   212 Lincoln Ave., Eastchester,
- -------------------------------         New York


/s/ Frank Ruggerio             (L.S.)   82 Fairway Drive, Eastchester,
- -------------------------------         New York

STATE OF NEW YORK)   ss:
COUNTY OF BRONX)

On this 23rd day of July 1964, before me personally came Fred Ruggiero and Frank
Ruggiero, to me known and known to me as the individuals described in and who
executed the foregoing instrument, and they severally acknowledged to me that
they executed the same.


/s/ Gertrude Eder
- -------------------------------------
Gertrude Eder

MICHAEL L. BUONOCORE
COUNSELOR AT LAW
Office and Post Office Address
60 East 42nd Street
Borough of Manhattan
New York 17, N. Y.


                                        3



          CERTIFICATE OF AMENDMENT OF THE CERTIFICATE OF INCORPORATION

                                       OF

                      PARK AMBULANCE & OXYGEN SERVICE; INC.

                Under Section 805 of the Business Corporation Law

IT IS HEREBY CERTIFIED THAT:

1. The name of the corporation is:

          PARK AMBULANCE & OXYGEN SERVICE, INC.

2. The certificate of incorporation was filed by the Department of State on the
3rd day of August, 1964.

3. The certificate of incorporation is hereby amended to effect the following
change:

To amend Paragraph (1) which sets forth the name of the corporation.

Paragraph (1) shall now read as follows:

(1) The name of the corporation is:

          PARK AMBULANCE SERVICE INC.

4. The amendment to the certificate of incorporation was authorized first by the
board of directors and then by the holder of all outstanding shares entitled to
vote thereon.

IN WITNESS WHEREOF, the undersigned hereby affirms that the statements made
herein are true under the penalties of perjury.

Dated: March 2, 1993


/s/ Lawrence Ruggiero
- -------------------------------------
Lawrence Ruggiero
Sole Shareholder


                                        4



                              CERTIFICATE OF CHANGE

                                       OF

                           PARK AMBULANCE SERVICE INC.

               UNDER SECTION 805-A OF THE BUSINESS CORPORATION LAW

WE, THE UNDERSIGNED, Robert E. Jarrett and Robert H. Byrne, being respectively
the Vice-President, Financial Operations and Secretary of Park Ambulance
Service, Inc. hereby certify:

1. The name of the corporation is Park Ambulance Service, Inc.

2. The Certificate of Incorporation of said corporation was filed by the
Department of State on August 3, 1964. It was incorporated under the name of
Park Ambulance & Oxygen Service, Inc.

3. The following was authorized by the Board of Directors:

A. To change the location of the corporation's office in New York from the
County of Bronx to the County of New York.

B. To change the post office address to which the Secretary of State shall mail
a copy of process in any action or proceeding against the corporation which may
be served on him from c/o The Corporation, 1138 Morris Park Avenue, Borough of
Bronx, City and State of New York to c/o CT Corporation, 1633 Broadway, New
York, New 10019.

C. To designate the registered agent in New York upon whom all process against
the corporation may be served on as CT Corporation System, 1633 Broadway, New
York 10019.

IN WITNESS WHEREOF, we have signed this Certificate on the 18th day of April,
1995 and we affirm the statements contained therein as true under penalties of
perjury.


/s/ Robert E. Jarrett
- -------------------------------------
Robert E. Jarrett - Vice President
Financial Operations


/s/ Robert H. Byrne
- -------------------------------------
Robert H. Byrne - Secretary


                                        5



                              CERTIFICATE OF MERGER
                                       OF

                       Associated Ambulance Service, Inc.
                       Adam Transportation Service, Inc.,
                          Park Ambulance Service, Inc.,
                      Five Counties Ambulance Service, Inc.
                        Sunrise Handicap Transport Corp.

                                      INTO
                           MEDTRANS OF NEW YORK, INC.

1. (a) The name of each constituent is as follows:

MedTrans of New York, Inc.
Associated Ambulance Service, Inc.
Adam Transportation Service, Inc.
Park Ambulance Service, Inc.
Five Counties Ambulance Service, Inc.
Sunrise Handicap Transport Corp.

(b) The name of the surviving corporation is MedTrans of New York, Inc. and
following the merger its name shall be MedTrans of New York, Inc.

2. As to each constituent corporation, the designation and number of outstanding
shares of each class and series and the voting rights thereof are as follows:



                              Designation and         Class or Series    Shares entitled
                          of shares in each class   of Shares entitled     to vote as a
Name of Corporation        or series outstanding          to Vote        class or series
- -------------------       -----------------------   ------------------   ---------------
                                                                
MedTrans of               100 Common                Common                      1
New York, Inc.

Associated Ambulance      1,000 Common              Common                      1
Service, Inc.

Adam Transportation       l00 Common                Common                      1
Service, Inc.

Park Ambulance            50 Common                 Common                      1
Service, Inc.

Five Counties Ambulance   100 Common                Common                      1

Sunrise Handicap          100 Common                Common                      1
Transport Corp.



                                        6



3. There will be no amendments or changes made to the Certificate of
Incorporation of the surviving corporation once the merger has taken place.

4. The date when the Certificate of Incorporation of each constituent
corporation was filed by the Department of State is as follows:



Name of Corporation                     Date of Incorporation
- -------------------                     ---------------------
                                     
MedTrans of New York, Inc.              December 27, 1994

Associated Ambulance Service, Inc.      April 8, 1988 (under the name of
                                        Amb-U-Chair Coaches, Inc.)

Adam Transportation Service, Inc.       December 23, 1988

Park Ambulance Service, Inc.            August 3, 1964 (under the name of Park
                                        Ambulance & Oxygen Service, Inc.)

Five Counties Ambulance Service, Inc.   November 23, 1964

Sunrise Handicap Transport Corp.        May 11, 1981


5. The merger was adopted by each constituent corporation in the following
manner:

(a) As to MedTrans of New York, Inc., by the unanimous written consent of the
shareholders.

(b) As to Associated Ambulance Service, Inc., by the unanimous written consent
of the shareholders.

(c) As to Adam Transportation Service, Inc., by the unanimous written consent of
the shareholders.

(d) As to Park Ambulance Service, Inc., by the unanimous written consent of the
shareholders.

(e) As to Five Counties Ambulance Service, Inc., by the unanimous written
consent of the shareholders.

(f) As to Sunrise Handicap Transport Corp., by the unanimous written consent of
the shareholders.

6. The merger shall be effected on the 31st day of August, 1996.


                                        7



IN WITNESS WHEREOF, we have signed this certificate on the 27th day of August,
1996, and we affirm the statements therein as true under penalties or perjury.

MedTrans of New York, Inc.


By: /s/ Michael Forsayeth
    ---------------------------------
Michael Forsayeth - Vice President


By: /s/ Robert H. Byrne
    ---------------------------------
Robert H. Byrne, Secretary


Associated Ambulance Service, Inc.


By: /s/ Michael Forsayeth
    ---------------------------------
Michael Forsayeth - Vice President


By: /s/ Robert H. Byrne
    ---------------------------------
Robert H. Byrne, Secretary


Adam Transportation Service, Inc.


By: /s/ Michael Forsayeth
    ---------------------------------
Michael Forsayeth - Vice President


By: /s/ Robert H. Byrne
    ---------------------------------
Robert H. Byrne, Secretary


Park Ambulance Service, Inc.


By: /s/ Michael Forsayeth
    ---------------------------------
Michael Forsayeth - Vice President


By: /s/ Robert H. Byrne
    ---------------------------------
Robert H. Byrne, Secretary


Five Counties Ambulance Service, Inc.


By: /s/ Michael Forsayeth
    ---------------------------------
Michael Forsayeth - Vice President


By: /s/ Robert H. Byrne
    ---------------------------------
Robert H. Byrne, Secretary


Sunrise Handicap Transport corp.


                                       8




By: /s/ Michael Forsayeth
    ---------------------------------
Michael Forsayeth - Vice President


By: /s/ Robert H. Byrne
    ---------------------------------
Robert H. Byrne, Secretary


                                       9



At a Special Term of the Supreme Court of the State of New York, County of
Albany, held at the Court House in Albany, New York, on the 18 day of March,
1997

PRESENT:

HON. THOMAS W. KEEGAN, JUSTICE.

SUPREME COURT
COUNTY OF ALBANY
STATE OF NEW YORK

MEDTRANS OF NEW YORK, INC.,
ASSOCIATED AMBULANCE SERVICE, INC.,
ADAM TRANSPORTATION SERVICE, INC.,
PARK AMBULANCE SERVICE, INC.,
FIVE COUNTIES AMBULANCE SERVICE, INC. and
SUNRISE HANDICAP TRANSPORT CORP.

Plaintiffs,

AGAINST

SECRETARY OF STATE OF THE STATE OF NEW YORK,

Defendant.

ORDER

Plaintiffs, MEDTRANS OF NEW YORK, INC., ASSOCIATED AMBULANCE SERVICE, INC., ADAM
TRANSPORTATION SERVICE, INC., PARK AMBULANCE SERVICE, INC., FIVE COUNTIES
AMBULANCE SERVICE, INC. and SUNRISE HANDICAP TRANSPORT CORP. by their attorney,
Lawrence A. Kirsch, Esq., by an Order To Show Cause having sought an Order in
this Court annulling the filing of the Certificate of Merger of the above named
corporations into MEDTRANS OF NEW YORK, INC. filed on the 31st day of August,
1996, with the Division of Corporations of the New York State Secretary of
State's Office, and upon reading and filing the affidavit of Lawrence A. Kirsch,
Esq., sworn to the 28th day of February, 1997, and the Defendant having no
objection to such order, it is hereby

ORDERED, that the Certificate of Merger of ASSOCIATED AMBULANCE SERVICE, INC.,
ADAM TRANSPORTATION SERVICE, INC., PARK AMBULANCE SERVICE, INC., FIVE COUNTIES
AMBULANCE SERVICE, INC. AND SUNRISE HANDICAP TRANSPORT CORP. into MEDTRANS OF
NEW YORK, INC. filed in the Offices of the Division of Corporations of the New
York Secretary of State's Office on August 30, 1996, to be effective August 31,
1996 be annulled, and it is further


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ORDERED, that the constituent corporations to the above merger be restored to
the index of existing corporations of the Department of State, Division of
Corporations, and it is further

ORDERED, that Plaintiffs file a copy of this Order with the Department of State,
Division of Corporations with respect to each of the above named entities and
pay the appropriate statutory filing fees for same.

Signed this 18 day of March, 1997, at Albany, New York.


/s/ Hon. Thomas W. Keegan
- -------------------------------------
Hon. Thomas W. Keegan
Justice of the Supreme Court

STATE OF NEW YORK
COUNTY OF ALBANY CLERK'S OFFICE
ss.:

I, THOMAS G. CLINGAN, Clerk of the said County, and also Clerk of the Supreme
and County Courts, being Courts of Record held therein, DO HEREBY CERTIFY that I
have compared the annexed copy Order with the original thereof filed in this
office on the 18 day of March 1997 and that the same is a correct transcript
therefrom, and of the whole of said original.

IN TESTIMONY WHEREOF, I have hereunto set my name and affixed my official seal,
this 18 day of March 1997.


/s/ X
- -------------------------------------
Clerk


                                       11



COURT ORDER NULLIFYING

CERTIFICATE OF MERGER OF

MEDTRANS OF NEW YORK, INC.
ASSOCIATED AMBULANCE SERVICE, INC.
ADAM TRANSPORTATION SERVICE, INC.
PARK AMBULANCE SERVICE, INC.
FIVE COUNTIES AMBULANCE SERVICE, INC.
SUNRISE HANDICAP TRANSPORT CORP.

Filed by:

HARTER, SECREST & EMERY
700 MIDTOWN TOWER
ROCHESTER, NY 14604-2070


                                       12



CERTIFICATE OF CHANGE
OF

PARK AMBULANCE SERVICE INC.

Under Section 805-A of the Business Corporation Law

1. The name of the corporation is
PARK AMBULANCE SERVICE INC.

If applicable, the original name under which it was formed is
PARK AMBULANCE & OXYGEN SERVICE, INC.

2. The Certificate of Incorporation of said corporation was filed by the
Department of State on 8/3/64.

3. The address of CT Corporation System as the registered agent of said
corporation is hereby changed from CT CORPORATION SYSTEM, 1633 BROADWAY, NEW
YORK, NY 10019 to 111 Eighth Avenue, New York, New York 10011.

4. The address to which the Secretary of State shall mail a copy of process in
any action or proceeding against the corporation which may be served on him is
hereby changed from c/o CT CORPORATION SYSTEM, 1633 BROADWAY, NEW YORK, NY 10019
to c/o CT Corporation System, 111 Eighth Avenue, New York, New York 10011.

5. Notice of the above changes was mailed to the corporation by CT Corporation
System not less than 30 days prior to the date of delivery to the Department of
State and such corporation has not objected thereto.

6. CT Corporation System is both the agent of such corporation to whose address
the Secretary of State is required to mail copies of process and the registered
agent of such corporation.

IN WITNESS WHEREOF, I have signed this certificate on September 1, 1999 and
affirm the statements contained herein as true under penalties of perjury.

C T CORPORATION SYSTEM


By: /s/ Kenneth J. Uva
    ---------------------------------
    Kenneth J. Uva
    Vice President

NY Domestic Corporation agent/process address


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