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Emergency Medical Services

Ambulance Service Information



State law requires that all ambulance services operating in Tennessee have a state license issued by the Office of Emergency Medical Services (EMS). TCA 68-140-506 requires such licensure and authorizes the state EMS Board to promulgate rules for this purpose. The EMS Board’s ambulance service licensing and related rules are contained in Rule 1200-12-1-.01, .02, .03, .05, .06, .07, .08, .09, .10, .11, .14, and .15.  Links to the law and rules are shown above.

Ambulance services are categorized as ground or air. Air services are divided in to helicopter or fixed wing services. Another type is Invalid Service which provides   stretcher transportation for those who do not need medical care or monitoring while being transported (rule 1200-12-1-.09).

An applicant for ambulance service licensure must complete and submit to the EMS Office the “Application for Initial Ambulance Service Licensure” in its entirety along with all other required documents and fees (those forms can be downloaded from this web site). Each ambulance to be operated under the license must pass an inspection by the EMS Office and be separately permitted.

A separate service license is required for each county in which the service has a base of operations. Ambulances will be separately permitted to each license to which they are assigned. Only licensed ambulance services will be issued ambulance permits.

All ambulance service licenses and ambulance permits must be renewed by July 1 of each year. Renewal notices are mailed each spring and must be returned by the deadline with the appropriate fees.

If you have questions about these requirements and procedures, please contact the EMS Office.  
665 Mainstream Drive, 2nd Floor
Nashville, TN 37243
Telephone# 615-741-2584
Toll Free# 1-800-778-4505
Fax# (615)741-4217

Service Directory

Service Directory

Click the button below to visit the EMS Service Directory page. To display a list of EMS services for a specific county, select the desired county from the drop down list at the top of the directory page and wait a few seconds for the listing to appear.



The State Emergency Medical Services (EMS) Board voted December 10, 2003 to accept as the standard for electronic data collection the National Highway Transportation and Safety Administration (NHTSA) Uniform Prehospital Data Set Version 2.0.  The EMS Board also adopted an identified subset from this document for minimum reporting data for Tennessee Emergency Medical Services as required in Rule 1200-12-1-.15 (2) (c). 

Both the State Subset and the NHTSA Uniform Prehospital Data Set may be obtained through the Tennessee Department of Health, EMS Office web site. If you have any questions please contact the EMS Office.

For more information about accessing EMITS please contact:

Donna G. Tidwell
665 Mainstream Drive, 2nd Floor
Nashville, TN 37243
Fax# 615-741-4217

Run Data Requirements

Run Data Reporting

Emergency Medical Information Technology System

Service Directors:


National Data Set: