Wake County EMS is a County-operated EMS provider agency. The organization began operation on July 1, 1976, and celebrates its 40th year of service in 2016. Wake County EMS Division is the largest of the four agencies comprising the Wake County EMS System and the sole public-sector provider.
Wake County EMS operates 35 advanced life support ambulances from 10 discrete stations and eight stations shared with local fire departments. Most shifts are 12 hours, but some 24-hour shifts are still used. All 24-hour shifts are scheduled to be phased out by 2018. Ambulances are primarily Type III van-modular units.
Four district chiefs on each shift supervise daily EMS operations. Each district chief operates a full-sized SUV, which are state-licensed, quick-response vehicles equipped with a full complement of ALS and incident management equipment.