EMS Billing Office:

828-652-7121 (Office)

828-652-0702 (Fax)

​60 East Court St. @ County Administration Building

Marion, NC 28752

Administrative Offices:

828-652-3241 (Office)

828-652-0100 (Fax)

41 South Garden St.

Marion, NC 28752

2018 Paramedic of the Year

Josh Fisher

2018 - MCDEMS - Awards

 Corey S. Pittman Award

Sgt. Sam Robinson


McDowell County EMS



A Culture of Safety Change:
MCDEMS Employees Approaching 8 Years Without Lost Time Incident 

McDowell County EMS employees have worked nearly 8 years without a lost time incident. The culture of safety change began in 2010 with the agency changing over 23 different operational procedures and implementing new training and physical fitness requirements for employees. The agency's safety record has gained state and national attention and is believed to be one of the longest-running safety records for any EMS agency.

McDowell County Emergency Medical Service began its operation on July 1, 1977. EMS began its operation with a total of 16 employees with 5 employees working each shift. In the early days of the organization, the crew quarters were located in County Administration Building. In 1978 EMS moved into a new station located on South Garden Street which still serves as the main station for EMS. In 1989 a second station was added in the Old Fort community. This station was located within the Rocket Building at Old Fort. In 2002 McDowell County Board of Commissioners approved the construction of a new Old Fort EMS Station on US 70 West in Old Fort. In October of 2010, EMS Station 3 was built through a joint project with the Nebo Volunteer Fire Department. 

Today McDowell County EMS paramedics remain on the cutting edge of Emergency Medicine with access to state of the art medical equipment, medical protocols that meet national standards in emergency medicine, and training programs that provide excellent opportunities for professional development. McDowell EMS is committed to being an active player within the community promoting injury prevention programs and public awareness on a variety of health-related topics. In July of 2013, McDowell EMS implemented the first Community Care Paramedic Program in Western North Carolina.

Today… just as it did 41 years ago McDowell County EMS and its 63 professional employees take great pride in providing Emergency Medical Care to the citizens of McDowell County. We look forward to continuing to serve the citizens of this county and improving the level of service we provide. 

McDowell County Emergency Medical Services is responsible for providing emergency medical care to all citizens and visitors of McDowell County. McDowell County EMS covers 437 square miles with elevation ranges from 900ft to 4700 ft. Over 68,000 acres of land within McDowell County is National Forest. Currently, our agency operates out of three stations. Our main station is located at 41 South Garden Street in Marion. Station 2 is located on US 70 West in Old Fort. Station 3 is located at 199 NC 126 in the Nebo community. McDowell EMS operates four ambulances and one quick response vehicle 24 hours a day. Within the system, six quick response vehicles are operated by the Director, Deputy Directors, EMS Captain and Community Care Paramedics. The McDowell County Rescue Squad serves as the backup provider for McDowell County EMS.

Deputy Director of EMS

Adrienne Jones