About Us
Kootenai County Emergency Medical Services System
KCEMSS is a fire-based ambulance service providing 9-1-1 emergency care and facility to facility transfers throughout Kootenai County. We operate through a network of agencies including all the fire departments within Kootenai County and one non-profit ambulance organization. We also offer Critical Care Transport services to the hospitals within Kootenai County as well as hospitals in the surrounding counties of North Idaho.
Through our contracts with the Fire Departments and Non-Profit Ambulance Companies within Kootenai County, we are able to strategically place our EMT's and Paramedics throughout the county for the quickest response times possible.

All EMTs and Paramedics in the field are employees of the Fire Departments or the one Non-Profit Ambulance organization. The System provides the Fire Departments with ambulances, medical equipment, medical supplies and medical oversight necessary to operate.
The Systems inception and success can be credited to all the contracting agencies involved who came together to form this organization, and who are committed to giving the residents and visitors of Kootenai County the best and most cost effective emergency medical services possible.
The contracting agencies within this System are as follows:
Transporting Agencies:
Coeur d'Alene Fire Department - Operating 2 full time ambulances
Kootenai County Fire & Rescue - Operating 2 full time ambulances
Northern Lakes Fire Protection District - Operating 2 full time ambulances
Spirit Lake Fire Protection District- Operating 1 full time ambulance
Timberlake Fire Protection District - Operating 1 full time ambulance
Worley Fire Protection District - Operating 1 full time ambulance
KCEMSS Affiliated Agencies:
Harrison Community Ambulance Association - Operating 2 ambulances
QRUs or Quick Response Units:
Hauser Lake Fire Protection District
Mica Kidd Island Fire Protection District
East Side Fire Protection District
Quick Response Units in many cases, especially in rural areas, can be on scene much faster than an ambulance. Many of these responders are volunteers and respond in the same area they reside. This - in many cases - can be the difference between life and death. If you would like information on becoming a volunteer in your area, please contact your local fire department.