Exhibit 3.266

                 AMENDED AND RESTATED ARTICLES OF INCORPORATION
                                       OF
               ANGEL L. ISCOVICH, M.D., A PROFESSIONAL CORPORATION

ANGEL L. ISCOVICH, M.D. hereby certifies that:

1. He is the President and Secretary of ANGEL L. ISCOVICH, M.D., A PROFESSIONAL
CORPORATION.

2. The Articles of Incorporation of this corporation are amended and restated to
read as follows:

                                       I.

The name of the corporation is FIRST MEDICAL/EMCARE INC.

                                       II.

The purpose of this corporation is to engage in any lawful act or activity for
which a corporation may be organized under the General Corporation Law of
California other than the banking business, the trust company business or the
practice of a profession permitted to be incorporated by the California
Corporations Code.

                                      III.

This corporation is authorized to issue only one class of shares of stock,
designated Common Stock, and the total number of shares that this corporation is
authorized to issue is one hundred thousand (100,000).

                                       IV.

     A. Limitation of Director Liability. The liability of the directors of the
corporation for monetary damages shall be eliminated to the fullest extent
permissible under California law.

     B. Indemnification of Agents for Breach of Duty to Corporation and
Shareholders. The corporation, may, by bylaw, agreement or otherwise, indemnify
its agents (as that term is defined in Section 317 of the California
Corporations Code) in excess of that expressly permitted by such Section 317,
for breach of duty to the corporation and its shareholders, to the fullest
extent permissible under California law; provided, however, that such
indemnification shall not extend to any acts or omissions or transactions from
which a director may not be relieved of liability as set forth in the exception
to Section 204 (a) (10) of the California Corporations Code or as to
circumstances in which indemnity is expressly prohibited by Section 317 of the
California Corporations Code.



     C. Subsequent Amendment. No amendment, termination or repeal of this
article or relevant provisions of the California Corporations Code or any other
applicable laws shall affect or diminish in any way the rights of any agent (as
that term is defined in Section 317 of the California Corporations Code) to
indemnification under the provisions hereof in connection with any action or
proceeding arising out of, or relating to, any actions, transactions or facts
occurring prior to the final adoption of such amendment, termination or repeal.

     D. Subsequent Legislation. If the California Corporations Code or any other
applicable law is amended after approval by the shareholders of this article to
further expand the indemnification permitted to directors or officers of the
corporation, then the corporation shall indemnify such persons to the fullest
extent permissible under the California Corporations Code or other applicable
law, as so amended.

3. The foregoing amendment and restatement of Articles of Incorporation has been
duly approved by the Board of Directors.

4. The foregoing amendment and restatement of Articles of Incorporation has been
duly approved by the required vote of shareholders in accordance with Section
902 of the California Corporations Code. The total number of outstanding shares
of the corporation is 1,500. The number of shares voting in favor of the
amendment and restatement equaled or exceeded the vote required. The percentage
vote required was more than 50%.

I further declare under penalty of perjury under the laws of the State of
California that the matters set forth in this certificate are true and correct
of my own knowledge.

DATE: January 22, 1998


                                        /s/ Angel L. Iscovich
                                        ----------------------------------------
                                        Angel L. Iscovich, M.D.,
                                        President and Secretary


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