Northampton County EMS System is comprised of 14 agencies that deliver emergency medical services to 512 square miles of the county. Northampton County EMS is the lead agency and is the sole provider of paramedic services to the citizens. The other agencies include: Gaston EMS, Conway Severn Rescue Squad, Eastside EMS, Vidant Eastcare, Gaston Volunteer Fire Department, Garysburg Volunteer Fire Department, Rich Square Fire-Rescue, Woodland Volunteer Fire Department, Roanoke Wildwood Fire Department, Conway Volunteer Fire Department , Severn Volunteer Fire Department, Lasker Volunteer Fire Department and Jackson Volunteer Fire Department.