List of Emergency Medical Service Providers
This page lists dedicated emergency medical service (EMS) districts in Washington State and the statutes they were formed under. It does not include other jurisdictions such as city fire departments, fire protection districts, or public hospital districts that might provide EMS services.
EMS Providers
This list was originally compiled in 2004 from MRSC's data and audit reports from the State Auditor's Office, and updated periodically.
| Jurisdiction | Service | Statute/Legal Authority | Members | Governing Board |
|---|---|---|---|---|
| Clark Regional Emergency Service Agency (CRESA) | 911 Dispatch, Regional Communications, Emergency Management, Emergency Medical | Chapter 39.34 RCW | Clark County, Battle Ground, Camas, La Center, Ridgefield, Washougal and Yacolt, Vancouver Clark County FDs 1,3,6,9,10,11,12,13 and 14, North Country EMS, Cowlitz & Skamania FDs #7 | Appointed and Elected Officials, Chair |
| Clark County, North Country Emergency Medical Service District (Joint EMS Agency) (1987) | Medical Services | Chapter 39.34 RCW, RCW 36.32.480 | Cowlitz County Emergency Medical Service District #1, Clark County Emergency Medical Service District #1, Yacolt, Skamania County | Administrative Board, Executive Director |
| Ferry County Emergency Medical Services District #1 | EMS services to central part of Ferry County | RCW 36.32.480 | Board of Commissioners; EMS Techs & drivers | |
| Grays Harbor, South Beach Ambulance Service | Pre-hospital and emergency health care services | Chapter 39.34 RCW | Grays Harbor FPD Nos. 3, 11, 14, Pacific County FPD No. 5 and Westport | Board of Directors, employees |
| Klickitat County EMS District No. 1 | 24-hour advance life support (ALS), hospital-to-hospital specialty care transfers | RCW 36.32.480 | Countywide | Board of Commissioners |
| Lewis, South County EMS | Basic life support in southwestern Lewis County | Chapter 39.34 RCW | Lewis County FPDs No. 15-Winlock, 2-Toledo, and 7-Vader | Board of Commissioners from each of fire districts |
| Okanogan County, Methow Valley Emergency Medical Services District | Contracts for ambulance services in Methow Valley as provided by Aero Methow Rescue Services | RCW 36.32.480 | Twisp, Winthrop, County (Carlton and surrounding areas); See Twisp MC Ch. 1.10 | Commissioners |
| Pacific County, North Pacific County Emergency Management Services | Pre-hospital and emergency health care services | RCW 36.32.480 | Raymond, South Bend, FPD 3,6,7,8 and Naselle FD; See Pacific County Ordinance No. 152 (2001) | Governed by interlocal agreement |
Last Modified: March 14, 2025
