​Wake County EMS is a County-operated EMS provider agency. The organization began operation on July 1, 1976. 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. All shifts are 12 hours.  Ambulances are Type III van-modular units.




Six district chiefs on each shift supervise daily EMS operations. Each district chief operates a full-sized SUV, which are state-licensed and equipped with a full complement of ALS and incident management equipment.