Ford, F-350, North Star, 4x4. Very clean, no known issues. Turbo was recently replaced and the engine has Sinister Diesel upgrades/deletes. The Ambulance has a brand new set of studded tires. Spare step motor is included. Ambulance does not include cot or other supplies as pictured but can be included for an additional cost. Please email or call with any questions. Price is OBO. Thanks.