Status: Active
Founded: 2008
Service Area: Clarksville, Colebrook, Columbia, Dixville, Pittsburg, and Stewartstown (NH); Canaan, Lemington, and Norton (VT)
Number of Bases: 1
Annual Run Volume (2025): 1,461
Dispatched By: Northern Borders Dispatch

45th Parallel EMS is a non-profit regional ambulance service established in 2008 following the closure of volunteer ambulance services in Colebrook and Pittsburg after hospital funding for those services ended. The new organization was formed to ensure continued 911 emergency medical coverage for communities in northern Coös County in New Hampshire and Essex County in Vermont.

The service currently provides coverage to Clarksville, Colebrook, Columbia, Dixville, Pittsburg, and Stewartstown in New Hampshire, as well as Canaan, Lemington, and Norton in Vermont. It also serves seven additional unincorporated communities in Vermont. Altogether, its response area encompasses approximately 1,200 square miles. At its inception, the agency operated out of a trailer at Upper Connecticut Valley Regional Hospital before relocating to a custom-built station in Colebrook. It maintains a fleet of four ambulances with a white, green, and yellow livery.

45th Parallel EMS provides 24/7 ALS-level emergency medical coverage with at least two providers on duty at all times. The service is dispatched by Northern Borders Dispatch.

Dispatch Tone Recordings
45th Parallel EMS

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Status: Former NH Provider
Founded: 1964
NH Operations Start Date: 2013
Ceased NH Operations: 2019
Service Area: Somersworth (NH); Berwick (ME)
Number of Bases: 1
Annual Run Volume (2017): 1,777
Dispatched By: Somersworth Police

American Ambulance New England was the northeastern arm of American Ambulance, a private, Florida-based interfacility transfer company that was founded in 1964. In the late 1990s and early 2000s, it acquired various ambulance companies around central Florida, and purchased Samaritan Ambulance (formerly General Ambulance and Mercy Ambulance) of Massachusetts in 2011, rebranding it as American Ambulance New England. The following year, the entire American operation was purchased by Falck.

In 2013, it began providing emergency response to Somersworth, NH. It staffed two ambulances painted white with a blue stripe. Berwick, ME, selected American as its ambulance provider soon after. In 2019, Falck decided to sell American Ambulance New England to Stewart’s Ambulance service of central New Hampshire. Stewart’s assumed the contract for Somersworth and Berwick. While American continued to operate in Florida, its New Hampshire operations ended when the deal closed.

Status: Active
Founded: 1992
NH Operations Start Date: TBD
Service Area: Manchester and Nashua
Number of Bases: 2
Annual Run Volume (2024): TBD
Dispatched By: Manchester Fire Alarm, Nashua Fire Alarm

TBD

Dispatch Tone Recordings
Manchester
Nashua

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Status: Active
Founded: 1981
Service Area: Bartlett, Hart’s Location, Jackson
Number of Bases: 1
Annual Run Volume (2024): 771
Dispatched By: Carroll County Communications Center

Bartlett-Jackson EMS is a nonprofit service that provides medical service to the towns of Bartlett, Hart’s Location, and Jackson. It was originally founded in 1981 as the Bartlett First Response Team after a group of Bartlett residents sought to establish a dedicated first response capability. Under this setup, members would stabilize patients until a transporting ambulance arrived from North Conway. In 1982, with changes to the Conway-area ambulance system, the team partnered with neighboring Jackson and reorganized as Bartlett-Jackson Ambulance, transporting patients itself.

Bartlett-Jackson EMS operates two ambulances out of the Bartlett Fire Department’s Glen Station, providing ALS service with a team of EMTs and paramedics. It is dispatched by Carroll County Communications Center. The ambulances are white with green and yellow stripes.

Dispatch Tone Recordings
Bartlett-Jackson EMS

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Status: Defunct
Founded: 1960s
NH Operations Start Date: 1970
Ceased NH Operations: 1992
Service Area: New Castle, Somersworth, and Rochester (NH); Berwick, Eliot, Kittery, Lebanon, and North Berwick (ME)
Number of Bases: 2
Annual Run Volume: Not documented
Dispatched By: Not documented

Benoit Medical Service was a private ambulance service founded in Maine in the early 1960s. Initially called Benoit Hall Ambulance, it was founded by the chief of the South Berwick Emergency Rescue Squad as a free, non-emergency transport service for both Kittery and Eliot. In the late 1960s or early 1970s, the company decided to expand to a paid version of the service based out of a garage on High Street in Somersworth, NH, operating white ambulances with orange striping. From that base, it served both Somersworth and Rochester. Although Somersworth briefly transitioned to an FD-based ambulance around 1974, this was short-lived and the city returned to Benoit that year. Starting in 1978, Benoit split ambulance coverage of Lebanon, ME with neighboring Sanford. Around this time, it also started providing service to Berwick, ME.

Following a short-term contract renewal with Rochester in January of 1980, the service stepped back from primary coverage that March, with Rochester changing EMS service to Frisbie Hospital. Benoit would serve as the backup ambulance service with Rochester at that time, while continuing to cover half of Lebanon, ME and all of Somersworth. In 1980, it obtained the contract for North Berwick, but was outbid in 1981 by Kerr Ambulance. Kerr started its contract but only lasted two weeks before severing it; Benoit was approached to resume service to the town. In 1990, it took over the contract for Kittery and Eliot, ME and New Castle, NH, with units responding from the Eliot base. This was also a replacement for Kerr Ambulance, which stopped 911 service at this time.

In 1992, Massachusetts-based firm Chaulk Ambulance purchased Benoit Medical Service, assuming their contracts in New Hampshire and Maine, ending the BMS name.

Status: Former NH Provider
Founded: 1984
NH Operations Start Date: 2013
Ceased NH Operations: 2018
Service Area: Easton, Littleton, Sugar Hill
Number of Bases: 1
Annual Run Volume (2016, NH only): 1,068
Dispatched By: Twin State Fire Mutual Aid

Calex Ambulance is a private, nonprofit ambulance service based in Saint Johnsbury, Vermont. Founded in 1984, the organization was established to serve nine towns in Caledonia and Essex counties in Vermont (its name is a portmanteau of “Caledonia” and “Essex”).

In 2013, Calex began providing 911 ambulance coverage to the New Hampshire towns of Easton, Littleton, and Sugar Hill following a competitive bid process, replacing Ross Ambulance. A single paramedic-level ambulance was staffed 24/7 and housed at the Littleton Fire Station for its New Hampshire operations. It was dispatched by Twin State Fire Mutual Aid.

In 2018, due to budget concerns, Littleton elected to change ambulance providers to Claremont-based Golden Cross Ambulance, concluding Calex’s New Hampshire service period.

Status: Defunct
Founded: 1969
Ceased Operations: 2020
Service Area: Acworth, Charlestown, Langdon
Number of Bases: 1
Annual Run Volume (2019): 400
Dispatched By: Charlestown Police

Charlestown Ambulance was a volunteer-based ambulance service that served the Town of Charlestown from 1969 to 2020. It was initially based at the Charlestown Medical Center, operating an ambulance donated by the Charlestown Grange. In 1972, the service relocated to a combined fire/EMS station on North Main Street. Dispatch was provided by Charlestown Police.

The service operated two white ambulances with orange striping and, in addition to Charlestown, provided coverage to Acworth from at least 1974 through 1983 and to Langdon from at least 1979 through 1983. Those contracts were discontinued in 1983 due to staffing shortages. In 1988, Charlestown began staffing paid daytime EMTs; these personnel were also certified as part-time police officers for the town.

In 1996, following the donation of land and a building, the service moved from the fire station to its own two-bay station on Springfield Road. By 2002, three paramedics were listed on the roster.

During the late 2010s, persistent staffing shortages prompted the town to evaluate alternative service models. In 2020, Charlestown entered into a contract with Golden Cross Ambulance, concluding more than five decades of locally operated ambulance service.

Status: Active
Founded: 2022
Service Area: Gilsum, Harrisville, Marlborough, Richmond, Stoddard, Swanzey, and Westmoreland
Number of Bases: 2
Annual Run Volume (projected): 2,200
Dispatched By: SWNH

Cheshire County EMS is a municipal, county-based service established in 2022 and operating under the authority of the Cheshire County Commissioners. The agency was initially formed with the intention of taking over the DiLuzio Ambulance fleet and equipment after its operators requested help in finding new ownership. That deal ultimately fell through before it could be completed. Instead, Cheshire County decided to build the agency from scratch. It began interfacility transfers in 2022 from a base at the Maplewood Nursing Home in Westmoreland while a dedicated facility was being built on Lake Street in Swanzey. Upon completion of the new station, the Westmoreland base continued to be staffed for communities in the northwestern part of the county.

In April of 2023, DiLuzio let the county know that it would be shutting down by May, leaving seven communities that had contracts with the outgoing service in need of a new EMS provider. These towns—Gilsum, Harrisville, Marlborough, Richmond, Stoddard, Sullivan, and Swanzey—all signed with Cheshire County to ensure uninterrupted 911 service starting in May. Additional towns contracted with them to provide ALS intercept, including Alstead, Fitzwilliam, Marlow, Troy, Walpole, and Winchester.

The service provides 24/7 ALS coverage from its two stations, with 11 providers on duty staffing five ambulances and one flycar. Units operate in a white and navy striped livery. The service is dispatched by Southwestern New Hampshire District Fire Mutual Aid (SWNH) and participates in the regional mutual aid system.

Dispatch Tone Recordings
Cheshire County EMS

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Status: Defunct
Founded: 1972
Ceased Operations: 1988
Service Area: Bath, Benton, Haverhill, Monroe, Warren, and Wentworth (NH); Groton, Newbury, and Ryegate (VT)
Number of Bases: 1
Annual Run Volume (1985): 540
Dispatched By: Hospital staff

The Cottage Hospital Volunteer Ambulance District was a hospital-run EMS service that served multiple communities in the Upper Connecticut River Valley of New Hampshire and Vermont. It was founded in 1972 following the passage of the Ambulance Act by the New Hampshire legislature in 1971, ensuring that area towns had ambulance coverage staffed by trained personnel in accordance with the new state standards. The service succeeded Ricker Ambulance as the primary 911 provider for the area.

The original service area consisted of Bath, Benton, Haverhill, Monroe, Warren, and Wentworth, NH and Groton, Newbury, and Ryegate, VT. Two ambulances were in service by 1974, and were dispatched by ER staff at the hospital. In 1981, Warren and Wentworth left the district after establishing Warren-Wentworth Ambulance.

By the mid-1980s, reimbursement cuts created budgetary strain for the district. At the same time, the newly formed Woodsville Fire District in Haverhill began planning its own ambulance service, which ultimately reduced the need for a hospital-based, regional provider. The Cottage Hospital Volunteer Ambulance District was subsequently dissolved in 1988.

Status: Defunct
Founded: 1951
Ceased Operations: 2023
Service Area: Alstead, Chesterfield, Fitzwilliam, Gilsum, Harrisville, Keene, Lempster, Marlborough, Marlow, Nelson, Richmond, Roxbury, Stoddard, Sullivan, Surry, Swanzey, Troy, Walpole, Winchester
Number of Bases: 1
Annual Run Volume: Not documented
Dispatched By: SWNH

DiLuzio Ambulance was established in 1951 as Frank J. Foley Ambulance, run out of the Foley Funeral Home in Keene. Prior to this, ambulance service for the region was provided by Elliot Community Hospital, but renovations to the facility forced the program out and the contract was put out to bid. The Foley Funeral Home was awarded the contract and began operations with two ambulances in 1952, serving all Monadnock communities that called for assistance. This was the majority of municipalities, as only Jaffrey and Winchester had their own ambulance at the time. As more towns began adding their own ambulances, many kept DiLuzio as a backup option.

In 1975, an employee named Robert J. DiLuzio purchased both the funeral home and ambulance service from Frank Foley, and renamed the latter to R.J. DiLuzio Ambulance Service. Due to financial pressure, it restructured operations in 1977, transitioning to non-emergency transport. Keene established its own ambulance service and assumed primary 911 coverage for the towns DiLuzio had served, including Chesterfield, Nelson, Roxbury, Sullivan, Surry, and Swanzey.

The service became EMT-Intermediate certified in 1991, bringing advanced life support capabilities to the business. In 1995, it separated from the funeral home and became its own LLC, although it still operated out of the funeral home’s garage on Court Street. In 1997, a number of Cheshire County towns inquired about having DiLuzio Ambulance begin providing prehospital services to their towns once again. In order to meet this demand, DiLuzio began staffing crews 24/7 and became paramedic certified in 1998. Swanzey and Winchester became the first towns to contract with DiLuzio. The former replaced Keene’s ambulance with the new service, while the latter signed a contract for ALS coverage only, leaving BLS to its in-town Winchester EMS service.

Richmond signed a contract in 1999 for ALS and BLS coverage; that same year, DiLuzio began providing paramedic intercept. Marlow signed on for this service in 2000, alongside the towns that Marlow provided BLS for, Gilsum and Lempster. While the full list of towns utilizing this option varied over the years—and a comprehensive list may not be discoverable—it is likely that Harrisville and Marlborough were among the first alongside Marlow. Stoddard contracted for ALS service in 2007. Alstead had it at least as early as 2010.

In 2012, Harrisville began receiving BLS coverage in addition to ALS, and Marlborough expanded its contract from ALS to BLS too in 2014. Fitzwilliam and Troy had transitioned to the service for ALS by 2017, and that same year Sullivan contracted for both ALS and BLS service. Marlow also signed a short-term contract for full coverage in 2017 while it reorganized its town ambulance service. When the reorganization was complete, the town retained DiLuzio as a backup provider. However, Gilsum, which had previously had BLS coverage from Marlow until the reorganization, switched providers to DiLuzio.

By this time, the service was operating up to six ambulances in two main liveries: white with a blue stripe and silver with a blue stripe. Units were dispatched via SWNH. It added BLS coverage to Stoddard in 2018 and also expanded its coverage in Winchester that year: while the town had been utilizing the service as its ALS provider for 20 years, DiLuzio began providing daytime coverage to the town due to workday staffing issues with the volunteer membership.

In 2021, Cheshire County put together a proposal to assume responsibility for the towns that DiLuzio served by purchasing the DiLuzio equipment and hiring their employees. After negotiations broke down, in 2022 the county backed out of the proposal and instead began laying the groundwork for its own ambulance system called Cheshire County EMS.

In early 2023, the owners announced that they would be shutting down the business effective immediately. This left seven towns (Gilsum, Harrisville, Marlborough, Richmond, Stoddard, Sullivan, and Swanzey) without primary ambulance coverage, and six others (Alstead, Fitzwilliam, Marlow, Troy, Walpole, and Winchester) without ALS service. Rescue Inc., a Vermont-based EMS outfit that already served Chesterfield and Hinsdale in New Hampshire, took over temporary responsibility for the DiLuzio contracts, operating a New Hampshire division out of the two Keene fire stations. Within two months, however, all but one town had signed contracts with Cheshire County EMS for similar coverage agreements. Only Sullivan went in a different direction, selecting Keene for its EMS needs. With this, the DiLuzio name ceased ambulance operations for the first time in over 70 years.

Dispatch Tone Recordings
DiLuzio Ambulance

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Status: Defunct
Founded: 1960s
NH Operations Start Date: 1970-1973
Ceased Operations: 1984
Service Area: Greenland and New Castle (NH); Eliot and Kittery (ME)
Number of Bases: 1
Annual Run Volume: Not documented
Dispatched By: In-house and Kittery Police Department

Earle Ambulance was a private ambulance service based out of Kittery, Maine. It was founded in the early-to-mid 1960s first as a non-emergency transport operation. In 1971, it obtained the 911 contracts for Kittery and Eliot. The ambulance was lime green and white and responded out of its Kittery base. The unit was dispatched by in-house operators for a time, with the Kittery Police Department dispatching units in later years.

By 1974, Earle Ambulance had reached the peak of its operations, expanding into New Hampshire and acquiring the 911 contracts for Greenland and New Castle, operating up to four ambulances across the four towns in its coverage area along the Maine/New Hampshire border. In 1980, Greenland switched ambulance providers to neighboring Newington’s fire-based ambulance until the department could establish its own service. In 1982, the Kittery and New Castle contracts were lost to Kerr Ambulance.

Also in 1982, the State of Maine moved to revoke Earle Ambulance’s license after reports it was racing Kerr Ambulance to scenes in Kittery. It was thrown out for lack of evidence in 1983. However, damage to Earle’s reputation had been done, and between that and financial issues, Eliot didn’t renew its contract with the service in 1984, moving to Kerr. At this time, Earle Ambulance went out of business.

Status: Active
Founded: 1983
Service Area: Cambridge, Dix’s Grant, Errol, Millsfield, Second College Grant, and Wentworth’s Location (NH); Lincoln, Magalloway, and Upton (ME)
Number of Bases: 1
Annual Run Volume (2024): 84
Dispatched By: Northern Borders Dispatch

The Errol Rescue Squad is a volunteer, nonprofit ambulance service serving multiple towns in the Great North Woods of New Hampshire and Maine. It was formed in 1983 by three EMTs who sought to reduce the 30–60 minute ambulance response times from Berlin, Milan, or Colebrook. In its early years, members responded in personal vehicles as a traditional FAST Squad–style agency, providing first response care until a transporting ambulance arrived.

In 1991, the squad received its first ambulance, a 1979 Ford van donated by Pittsburg Ambulance Corps. The vehicle was housed at the Errol Fire Station and used for first response only, as the squad did not yet have sufficient personnel to provide licensed transport. By 1997, enough members had been trained to begin transport services. The Town of Errol purchased a new ambulance and leased it to the squad. In 1999, the organization incorporated as a nonprofit and purchased the ambulance outright.

Additional equipment was later added, including a rescue sled for snowmobile incidents and a UTV for woods rescues. Dispatch transitioned to Northern Borders Regional Dispatch in Colebrook in 2005, and the squad moved into the Errol Public Safety Building in 2009. Paramedic services were provided by Berlin EMS and later 45th Parallel EMS until 2024, when the squad became ALS certified by the state.

It currently serves Cambridge, Dix’s Grant, Errol, Millsfield, Second College Grant, and Wentworth’s Location in New Hampshire, as well as Lincoln, Magalloway, and Upton in Maine. The squad operates a white ambulance with a pink stripe and pink Star of Life.

Dispatch Tone Recordings
Errol Rescue Squad

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Status: Merged into fire department
Founded: 1984
Merged: 2007
Service Area: Fremont
Number of Bases: 1
Annual Run Volume (2004): 180
Dispatched By: Rockingham County Sheriff’s Department

Fremont Volunteer Rescue Squad was established in 1984 to provide first-response medical care in the Town of Fremont while awaiting the arrival of transporting ambulances from Brentwood or Raymond. Initially, members responded in personal vehicles. In 1990, the squad acquired a used ambulance that was converted into a Rescue Van for use on medical and motor vehicle accident calls. Dispatch was provided by the Rockingham County Sheriff’s Department.

The service originally operated from the Fremont Fire Station on Main Street before relocating to the town’s Public Safety Building in 1998. Fremont Volunteer Rescue did not transport patients, instead functioning strictly as a FAST squad with additional capability for vehicle and off-road rescue. Following the retirement of the Rescue Van, the squad operated white SUVs with red striping for first-response duties.

In 2004, all rescue equipment was transferred to the Fremont Fire Department, and the squad transitioned to first-responder medical operations only. In 2007, the organization was formally integrated into the fire department as Fremont Rescue.

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Status: Active
Founded: 1980
Service Area: Rochester
Number of Bases: 1
Annual Run Volume (2020s): 7,000
Dispatched By: Rochester Police

Frisbie Memorial Hospital EMS is one of two hospital-based EMS services currently providing 911 coverage in New Hampshire. It was founded in 1980 when Frisbie Memorial Hospital assumed EMS responsibility for the city of Rochester.

The service initially staffed one ambulance during daytime hours with on-call coverage overnight. By the 2000s, operations expanded to two ambulances during the day and one at night. In 2018, the service transitioned to staffing two ambulances 24/7.

Frisbie EMS operates differently from most EMS agencies in New Hampshire in that its providers also work within the hospital’s emergency department when not assigned to calls. Crews are permitted to continue patient care upon arrival at the hospital when their skillset aligns with the needs of the emergency room staff. A flycar is available for ALS intercepts in surrounding communities in both New Hampshire and Maine; this service began in 1988.

Units operate Ford E-Series Type III ambulances in a white livery with dual red striping and red Star of Life markings. The service provides 24/7 ALS-level emergency coverage with at least four providers on duty at all times and is dispatched by Rochester Police.

Dispatch Tone Recordings
Frisbie EMS

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Status: Active
Founded: 1962
Service Area: Acworth, Charlestown, Claremont, Cornish, Easton, Langdon, Littleton, Sugar Hill, Unity, and Walpole (NH); Athens, Brattleboro, Reading, Rockingham, Weathersfield, and Westminster (VT)
Number of Bases: 3
Annual Run Volume: Not documented
Dispatched By: In house and SWNH

Golden Cross Ambulance is a private, family-owned ambulance service based in Claremont. It was founded in 1962 and provides paramedic-level emergency response and interfacility transfers out of three bases—two in New Hampshire and one in Vermont. It is dispatched in-house and through SWNH.

The service currently provides ALS coverage from three bases, operating white ambulances with red striping. It covers Acworth, Charlestown, Claremont, Cornish, Langdon, and part of Walpole in New Hampshire, as well as Athens, Reading, Rockingham, Weathersfield, and Westminster in Vermont.

Its first municipal EMS contract was with Claremont, starting at least by 1975 (Claremont city records mention “Claremont Ambulance” prior to 1975, but this may have been a general term). In 1980, it began providing service to Unity, and added service to Cornish and Lebanon in 1982. For the Lebanon arrangement, a staffed ambulance was run out of Lebanon’s Central Fire Station. The service’s first Vermont contract was signed by Weathersfield in 1986. A short-term contract was signed with Athens, Rockingham, and Westminster, VT two years later when Lefevre Ambulance had a license suspension. In 1987, the service provided coverage to the northern half of Plainfield, an arrangement that lasted until 1990. In 1989, it picked up the contract for Langdon, replacing Lefevre.

In 1993, Lebanon transitioned to Careplus Ambulance, and around this time Golden Cross signed a contract with Grafton, VT for service. In 2005, the towns of Rockingham and Westminster, VT signed contracts, replacing Lefevre. The village of North Walpole in Walpole, NH replaced Lefevre with Golden Cross in 2007. In 2010, Acworth, NH and Athens, VT both replaced Lefevre with the service. By 2014, Reading, VT had also contracted with it.

In 2018, the service expanded northward when it took over the EMS contract for Easton, Littleton, and Sugar Hill when Calex Ambulance left the area. With the closure of Charlestown Ambulance in 2020, the town contracted Golden Cross to provide EMS service. The Littleton-area contract lasted until 2021 when the town’s fire department began running its own ambulance transport service for all three towns.

Golden Cross also had a one-year contract with Brattleboro, VT from 2022-2023 as that city transitioned from Rescue Inc. to fire department-run ambulance service.

The company continues to serve its current New Hampshire and Vermont contracts out of three bases, remaining the primary private ambulance provider in the Claremont area.

Dispatch Tone Recordings
Golden Cross Claremont Base
Golden Cross Division 1
Golden Cross Division 2

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Status: Active
Founded: 1994
Service Area: Grafton
Number of Bases: 1
Annual Run Volume (2025): 126
Dispatched By: Upper Valley

Grafton Ambulance is a municipal EMS department that provides medical service to the town of Grafton. The ambulance service traces its roots to the early 1970s, when it operated as part of the Grafton Fire Department. It was recognized as an independent department by the town in 1994. It is dispatched by Upper Valley in Hanover.

Grafton Ambulance provides intermediate life support with a contingent of volunteer EMTs that operate a single, red Type III ambulance out of the town’s fire station. Due to staffing struggles, the department has at times contracted with Canaan Ambulance to provide EMS coverage when Grafton cannot respond. In 2026, the two towns began discussions on a possible merger of ambulance service.

Dispatch Tone Recordings
Grafton Ambulance

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Status: Defunct
Founded: 1980
NH Operations Start Date: 1982
Ceased NH Operations: 1990
Service Area: New Castle (NH); Eliot, Kittery, and North Berwick (ME)
Number of Bases: 1
Annual Run Volume: Not documented
Dispatched By: Not documented

Kerr Ambulance was a private ambulance service based in Wells, and later Kittery and Eliot, Maine. It was founded in 1980, staffing two ambulances to serve coastal York County towns and nursing homes.

The service expanded not long after starting up, winning the 911 contracts for New Castle, NH and Kittery and North Berwick, ME in 1982. The service then moved its operational base to Kittery to fulfill this contract. It pulled out of its North Berwick obligation after only two weeks. In 1984, it obtained the contract for Eliot, ME.

In 1990, Kerr Ambulance decided to stop providing 911 service altogether, closing the Kittery base and leaving its municipal contracts up for bid. All three towns, including New Castle, NH, contracted with Benoit Medical Service for replacement coverage. Kerr continued to provide interfacility transfers from both Sanford and Kennebunk through the 1990s.

Status: Defunct
Founded: 1969
Ceased Operations: 1982
Service Area: Lebanon
Number of Bases: 1
Annual Run Volume (1979): 1,800 (including transfers)
Dispatched By: Not documented

Lebanon Ambulance Service was a privately-operated ambulance service based in Lebanon. Founded by an Army veteran in 1969, it ensured consistent civilian ambulance coverage during a period of transition in the city’s emergency services. The service was subsidized by the city after it began 911 operations towards the end of 1969.

The founder retired in 1980, selling the service to new ownership. Two years later, the city awarded the contract to Golden Cross Ambulance, which had opened a base in the city in 1980, likely to better serve the Dartmouth Hitchcock Medical Center. Upon Golden Cross assuming the contract, Lebanon Ambulance Service ceased operations.

Status: Defunct
Founded: 1983
Ceased Operations: 2010
Service Area: Acworth, Langdon, Walpole
Number of Bases: 1
Annual Run Volume (2007, Acworth Only): 40
Dispatched By: In-house and SWNH

LeFevre Ambulance was a Vermont-based ambulance service that provided 911 coverage to the Town of Acworth, NH from 1984 to 2010. Founded in 1983 by a retired Vermont State Trooper, the service initially operated from Westminster and later from Bellows Falls, Vermont. Langdon was among its earliest New Hampshire contracts, signing with LeFevre alongside Acworth in 1984 and remaining with the service until approximately 1989, when it transitioned to Golden Cross Ambulance.

LeFevre utilized Ford-based ambulances along with a 2003 GMC Sonoma intercept vehicle for ALS response. It was licensed as a paramedic-level service in 1991 and, at its peak, held contracts with eight area towns and one village—though Acworth, Langdon, and the village of North Walpole were its only New Hampshire municipalities. In 1998, the service was recognized as Vermont Ambulance Service of the Year. It was dispatched both through its office as well as SWNH.

In 2005, LeFevre lost the majority of its municipal contracts through competitive bidding, which significantly reduced revenue. North Walpole, a village with separate fire and EMS in Walpole, NH, switched from Lefevre to Golden Cross in 2007. By the time it closed in 2010, the service was providing coverage only to Athens, VT and Acworth, NH. Golden Cross assumed 911 coverage in Acworth following the service’s closure.

Status: Defunct
Founded: 1969
Ceased Operations: 2014
Service Area: Harrisville, Marlborough
Number of Bases: 1
Annual Run Volume (2013): ~175
Dispatched By: SWNH

Marl-Harris Ambulance was a private, non-profit ambulance service that operated in the towns of Marlborough and Harrisville starting in 1969. The service was founded by the Spring Lake, New Jersey relative of a Harrisville citizen who had been unable to obtain timely ambulance service. In conjunction with a Marlborough citizen and the Spring Lake First Aid and Emergency Squad in New Jersey, a used Cadillac ambulance was shipped up the coast to New Hampshire for Marl-Harris Ambulance. It was kept in the Marlborough fire station and staffed by both the Harrisville and Marlborough rescue squads.

The service was dependent on volunteers, and even had high school students provide auxiliary EMT operations during work hours when adult residents were out of town at their day jobs. Because the combined population of the two towns was just about 3,000, finding and keeping volunteers on the staff was a difficult endeavor. In 2012, Harrisville pulled out of the partnership due to lack of volunteers, selecting DiLuzio Ambulance as its contracted EMS partner. By late 2014, Marlborough selectmen had made the decision to sign a contract with DiLuzio, ending Marl-Harris 911 services. The ambulance, then a white Ford with blue striping, was sold to Peterborough. However, the Marl-Harris name lived on as a nonprofit with the goal of offsetting the cost of Marlborough’s ambulance contract.

Status: Active
Founded: 2024
Service Area: Pembroke
Number of Bases: 1
Annual Run Volume (2025): 841
Dispatched By: Capital Area Fire Mutual Aid Compact

Pembroke EMS was established on July 1st, 2024, following the dissolution of Tri-Town EMS after Allenstown began operating its own municipal ambulance service. This effectively ended the regional Tri-Town model (Hooksett had previously withdrawn following 2012) and required Pembroke to establish an independent, municipally operated EMS agency.

The new department retained space within the Pembroke Public Safety Building formerly occupied by Tri-Town EMS and assumed an ambulance designated as Ambulance 8. A second ambulance was placed in service the following year, resulting in the original unit being redesignated as Ambulance 9.

Pembroke EMS provides 24/7 emergency coverage at the ALS level with two providers on duty at all times. The second ambulance is staffed by call members as needed. The service is dispatched by Concord Fire Alarm and participates in the Capital Area Fire Mutual Aid Compact, both providing and receiving mutual aid with surrounding communities. The formation of Pembroke EMS marked a broader regional shift from shared hospital-supported EMS systems toward independent municipal ambulance services.

Dispatch Tone Recordings
Pembroke EMS

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Status: Defunct
Founded: 1987
Ceased Operations: 1997
Service Area: Chichester and Loudon
Number of Bases: 1
Annual Run Volume (1997): Not documented
Dispatched By: Not documented

Raceway Ambulance was a private ambulance service that provided 911 coverage to the towns of Loudon and Chichester during the late 1980s and much of the 1990s. Founded in 1987, the service was established in connection with Bryar Motorsports Park (later redeveloped as New Hampshire Motor Speedway). The racetrack reportedly initiated the service primarily for on-site medical coverage and subsequently offered to provide municipal EMS coverage to Loudon if the town agreed to assist with payroll costs.

Raceway began serving Loudon in 1987 after the town’s contract with American Ambulance ended. In 1989, it expanded to serve Chichester following the closure of Center Barnstead Ambulance. At some point after its formation, Raceway was acquired by Paramedic Systems Inc. of Rhode Island, which continued operating the service in both towns through 1997.

In March 1997, Raceway ceased providing municipal 911 coverage, leaving Loudon and Chichester to establish their own ambulance services to ensure uninterrupted emergency response. The two towns adopted a cooperative model in which coverage responsibility alternated by the week, regardless of municipal boundaries. Additional details regarding this arrangement can be found on the Chichester department page.

Following the termination of its 911 operations, the Raceway name continued to appear in the region in association with event and track medical services at New Hampshire Motor Speedway, though it no longer operated as a municipal ambulance provider.

Status: Active
Founded: 1966
Service Area: Chesterfield, Hinsdale
Number of Bases: 1
Annual Run Volume: Not documented
Dispatched By: SWNH

Rescue Inc. is a private, nonprofit ambulance service based in Brattleboro, VT. Established in 1966 by members of the National Ski Patrol, it began as an all-volunteer organization providing 911 emergency response to Brattleboro and surrounding communities. As the service expanded, it transitioned to per diem and eventually full-time staffing to ensure consistent ALS coverage.

In 1975, Rescue Inc. became the transporting ambulance provider for Hinsdale, New Hampshire. Chesterfield entered into a contract with the service in either 1976 or 1977. The service operates white ambulances with orange striping and is dispatched by SWNH. New Hampshire communities are served out of the Brattleboro base.

In the spring of 2023, DiLuzio Ambulance announced that it would no longer provide EMS services to seven towns in Cheshire County. Rescue Inc. assumed interim coverage, hiring former DiLuzio staff and operating from Keene’s two fire stations during the transition period. Six of the affected towns—Gilsum, Harrisville, Marlborough, Richmond, Stoddard, and Swanzey—subsequently entered into contracts with newly formed Cheshire County EMS. Rescue Inc. concluded its temporary regional coverage at the end of June 2023 and continues to provide ambulance service to Hinsdale and Chesterfield under its existing contracts.

Dispatch Tone Recordings
Rescue Inc.

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Status: Defunct
Founded: 1979
Ceased Operations: 2011
Service Area: Candia, Manchester, Nashua
Number of Bases: 2
Annual Run Volume (2006): 18,206
Dispatched By: Manchester Fire Alarm, Nashua Fire Alarm

Rockingham Regional Ambulance was a regional, ALS-level EMS service that was founded in Exeter but later funded primarily by St. Joseph’s Hospital in Nashua. It served Nashua with BLS coverage from its inception in 1979 through 1983, and with ALS coverage from 1983 through its demise in 2011. In addition to Nashua, Rockingham provided ALS coverage for Manchester between 1993 and 2011 and Candia from 2001 to 2011.

Up to seven staffed units were shared between its bases at 31 Auburn Street in Manchester and 380 West Hollis Street in Nashua, with Manchester-based units responding to Candia. Units typically rode on Ford E-Series chassis with a white box, navy-blue striping, and large “Rockingham” side lettering. Manchester utilized ALS-1 through ALS-4, while Nashua utilized ALS-10 through ALS-12 as its callsigns.

In late 2010, Rockingham ceased operations in Manchester and Candia after AMR was awarded the contract beginning in 2011. In September 2011, St. Joseph Hospital announced it was shutting down the service permanently, citing Medicaid reimbursement cuts in the state budget. Ambulance coverage in Nashua transitioned to AMR, ending more than three decades of hospital-based EMS service in the city.

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Status: Merged into fire department
Founded: 1989
Merged: 2026
Service Area: Rumney
Number of Bases: 1
Annual Run Volume (2025): 151
Dispatched By: Lakes Region Mutual Fire Aid

Rumney EMS was established in 1989 as the Rumney FAST Squad, with operations formally beginning in 1990. The service operated from Rumney Fire Station 1 on Depot Street. It provided primarily call-member coverage and was dispatched by Lakes Region Mutual Fire Aid (LRMFA), operating under radio town identifier 38.

In 2007, the organization renamed itself from Rumney FAST Squad to Rumney EMS as part of a broader effort to transition toward transport capability. The following year, in 2008, it was licensed by the State of New Hampshire to provide ambulance transport. Despite this, the Plymouth Fire Department has continued to serve as the town’s primary contracted transport provider.

In 2024, Rumney added its first paramedic to the roster, marking a significant step forward in service capability. Following the closure of Warren-Wentworth EMS in the summer of that year, Rumney and Plymouth developed a cooperative staffing arrangement for Warren and Wentworth, for which Plymouth had assumed primary medical coverage. On weekends, Plymouth provides daytime staffing for the Rumney ambulance; when operating in this capacity, the unit responds over the radio as Plymouth Ambulance 3.

In 2026, Rumney EMS officially merged with the Rumney Fire Department.

Dispatch Tone Recordings
Rumney EMS

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Status: Defunct
Founded: 1984
Ceased Operations: 1987
Service Area: Manchester
Number of Bases: 2
Annual Run Volume: Not documented
Dispatched By: Manchester Fire Alarm

STAT Care Ambulance was a joint non-profit venture of the Elliot Hospital and Catholic Medical Center in Manchester, founded in 1984 and providing BLS coverage to the city from 1985-1987. It succeeded the Manchester Fire Department ambulance, which had been run from its stations for 10 years.

The service operated from two bases, one on Tarrytown Road and one on Main Street. Two ambulances were in service 24/7, with a third available for busy call volume or use as a spare when a frontline ambulance went out for repairs. They were dispatched by the Manchester Fire Alarm office.

The service ran into financial troubles in the second year of its contract, requesting additional funds from the city to cover deficits and provide ALS coverage. As the contract neared its end in 1987, Manchester put the ambulance contract up for bid for 1988 and beyond. Several private companies submitted bids, with Chaulk Ambulance winning. It replaced STAT Care in January 1988, ending what had been an unusual collaboration between the city’s two major hospitals.

Status: Defunct
Founded: 1972
Ceased Operations: 2024
Service Area: Allenstown, Hooksett, Pembroke
Number of Bases: 2
Annual Run Volume (2023): 1,422
Dispatched By: Hooksett Police, Capital Area Fire Mutual Aid Compact

Tri-Town EMS was established in 1972 as the Tri-Town Volunteer Emergency Ambulance Service. It was a privately operated service organized by EMTs from Allenstown, Hooksett, and Pembroke following the dissolution of VFW Community Ambulance, which had previously served those towns. VFW donated its ambulance, equipment, and garage space on Central Street in Pembroke to the new service. Dispatch was initially provided by Hooksett Police.

In 1974, Tri-Town added a second ambulance. A 1977 addition to the Central Street garage created a second apparatus bay and a second-story space used for living quarters and training. Through the early 1980s, the service operated primarily with volunteer staffing, providing full-time BLS coverage with part-time ALS availability. In 1986, per-diem daytime staffing was implemented to ensure consistent coverage. A third ambulance was added in 1988, with the fleet designated as Ambulances 500, 501, and 502. In 1997, Tri-Town transitioned to 24/7 ALS coverage.

By 2003, one ambulance was staffed 24 hours per day, with a second staffed during daytime hours (8:00 AM–6:00 PM) and housed at Hooksett Central Fire Station. In 2005, dispatch operations transitioned from Hooksett Police to Capital Area Fire Alarm in Concord.

In 2012, Hooksett did not renew its contract with Tri-Town after establishing its own fire department-based ambulance service. Allenstown and Pembroke subsequently restructured the organization into a municipal service in 2013, renaming itself to just Tri-Town EMS. That same year, the service relocated from the Central Street garage to the Pembroke Public Safety Building on Pembroke Street.

Tri-Town traditionally operated white ambulances with a burgundy stripe. In 2017, the service adopted a gray-over-yellow color scheme with the delivery of a new Type III ambulance designated Ambulance 8. That same year, Tri-Town was named New Hampshire EMS Service of the Year.

In 2022, Allenstown was licensed by the state for ambulance transport and began transitioning to an independent service model. For approximately two years, Allenstown and Tri-Town operated concurrently while the transition took place. In mid-2024, Allenstown assumed full ambulance coverage for the town, leaving Tri-Town to serve Pembroke exclusively. The organization was subsequently restructured as Pembroke EMS, concluding the Tri-Town regional service model that had operated since 1972.

Dispatch Tone Recordings
Tri-Town EMS

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Status: Defunct
Founded: 1966
Ceased NH Operations: 1977
Service Area: Amherst, Brookline, Hollis, Hudson, Lyndeborough, Milford, Mont Vernon, Nashua, and Wilton (NH); Dunstable, Pepperell, and Tyngsboro (MA)
Number of Bases: 3
Annual Run Volume: Not documented
Dispatched By: Self dispatch

United Ambulance was a privately owned EMS service founded in 1966 when Alpine Ambulance closed. Based in Hudson and later Nashua, it originally provided non-emergency and interfacility transfers as well as event standbys at race tracks around the region. It provided backup 911 coverage for both Hudson and Nashua, as well as fire standby details to keep the Nashua Police Ambulance freed up for other emergency calls. It operated numerous different ambulances in both powder blue and white and orange liveries.

With the passage of ambulance licensing legislation in 1972, a number of local towns found themselves in need of licensed ambulance personnel. Sensing this demand, United entered into a contract with Amherst, Brookline, Lyndeborough, Milford, Mont Vernon, and Wilton to provide 911 service with two ambulances housed in Milford, near Haywards on Elm Street. An additional two ambulances were housed in Pepperell, MA, that year, providing service to that community.

United’s foray into the Souhegan Valley was short-lived. In 1974, both Milford and Wilton started their own individual transporting ambulance services, with Wilton’s providing coverage to Lyndeborough. United then relocated the Milford ambulances to its base in Nashua. Towns without their own rescue equipment could either wait for an ambulance to travel from Nashua or transport patients themselves, as Amherst did with its rescue truck. In 1975, Amherst Rescue Squad obtained an ambulance and began providing full-time transport to residents of Amherst and Mont Vernon.

In 1975, Hollis, Hudson, and Litchfield all signed short-term contracts with United after the Nashua Police Ambulance shut down. The Hollis and Hudson contracts remained in effect until 1976, when each acquired its own ambulance (United donated an International ambulance to Hudson) and became licensed to transport. By 1978, Litchfield had contracted Hudson’s ambulance service for coverage. Brookline’s contract with United also ended in 1976, and the town entered into a short-term agreement with American Ambulance Service to maintain coverage while Brookline Ambulance was being established. United continued to provide non-emergency transport in the region for another year before it shut down in 1977.

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Status: Defunct
Founded: 1955
Ceased Operations: 1972
Service Area: Allenstown, Hooksett, Pembroke
Number of Bases: 1
Annual Run Volume (1971): 190
Dispatched By: Self dispatch by telephone

VFW Community Ambulance was a volunteer ambulance service operated by Suncook Valley VFW Post 2860 from 1955 to 1972. The service operated first from a rented garage at an unknown location until 1964, when a one-bay garage attached to the VFW building on Central Street in Suncook Village was constructed. It provided coverage to Allenstown, Hooksett, and Pembroke.

Documentation regarding specific ambulance models and livery is limited, though it is believed that a 1968 Pontiac-based ambulance was placed in service during the later years of operation.

In 1972, VFW Community Ambulance discontinued operations after it was unable to meet new state training standards for ambulance personnel. Its equipment, ambulance, and garage space were donated to the newly formed Tri-Town Volunteer Ambulance, which assumed emergency coverage for the three towns.

Status: Defunct
Founded: 1977
Ceased Operations: 2025
Service Area: Benton, Dorchester, Groton, Piermont, Warren, Wentworth
Number of Bases: 1
Annual Run Volume (2024): 293
Dispatched By: Lakes Regional Mutual Fire Aid

Warren-Wentworth EMS was an independent, non-profit ambulance service that served multiple towns in the Baker River Valley. Its roots trace back to the inception of the Warren FAST Squad in 1977, which was renamed to the Warren-Wentworth FAST Squad in 1980. At that time, the agency only provided first-response care, with transport being handled by Plymouth or Cottage Hospital. In 1981, it purchased its first used ambulance and began transport service. The ambulance was housed at the Warren Fire Department on Water Street, and dispatch was handled by staff at the Glencliff Home for the Elderly.

In 1993, the service renamed itself to Warren-Wentworth EMS. In 1997, the service transitioned dispatch to Lakes Region Mutual Fire Aid (LRMFA) in Laconia and was assigned radio identifier 24. In 2000, a two-bay station was built on NH 25 and housed up to three ambulances. It added its first paramedic to the roster in 2005, and by 2008 had begun daytime staffing at the station with 2 EMTs.

In addition to serving Warren and Wentworth, the service had contracts with businesses such as Glencliff Home and local racetracks. It also started providing EMS response for parts of Benton, Dorchester, Piermont, and Groton. By the late 2010s, the service had transitioned to 24/7 staffing.

In 2024, a budget shortfall led to an emergency funding request to Warren and Wentworth, which was granted. However, this was a stopgap measure and, in July 2025 following more financial turmoil, the remaining staff quit, ending operations. The ambulances were sold off later that year. Plymouth, Rumney, Woodsville, and Upper Valley Ambulance all volunteered to provide interim coverage until a more permanent solution could be found. Eventually, Warren and Wentworth selected Plymouth for EMS service through the beginning of 2026.

Dispatch Tone Recordings
Warren-Wentworth EMS

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