Israel said a number of Hamas fighters had been killed in the strike and accused the group of transferring both militants and weapons in ambulances.
Israel struck an ambulance in Gaza City on Friday which it said was carrying militants, but which health authorities in the Hamas-controlled enclave said was evacuating wounded people from the north to the south of the territory.
Gaza's health ministry, said the ambulance was part of a convoy that Israel targeted leaving a hospital, adding that "a large number" were killed and wounded.
Israel's military said it had identified and hit an ambulance "being used by a Hamas terrorist cell" in the battle zone.
It said a number of Hamas fighters had been killed in the strike and accused the group of transferring both militants and weapons in ambulances.
Earlier, Gaza's health ministry said ambulances would transport critically injured Palestinians who urgently need to be taken to Egypt to be treated.
Israel has accused Hamas of concealing command centres and tunnel entrances in the al-Shifa hospital.
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