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, 1st Floor
Nashville, TN 37243
Toll Free# 1-800-778-4505