Emergency Medical Services

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Modern EMS in Tennessee was created by state legislation in 1972. This law authorized the training of Emergency Medical Technicians (EMTs) and mandated the creation of standards for ambulances and medical equipment. In 1973 legislation mandated the training and certification of Paramedics. In 1977 legislation authorized the creation and management of a statewide system for EMS radio communications. This completed the legal authorization for the initial development of Tennessee’s EMS system. In 1983 the state EMS Board was created and the first EMS Board in the U.S. met in June of that year.

Today the State EMS office, operating under the rules of the EMS Board, oversees a statewide EMS system comprised of thousands of Paramedics and EMTs who work for 210 ambulance services that operate 1,300 ambulances that make more than 1,000,000 patient transports annually. The Office is comprised of a total of 19 employees. The central office has 11 employees- the Director, Assistant Director, Trauma Manager, Data Manager, Radio Systems Analyst, an EMS consultant-at-large and 5 administrative support staff. We have 8 Regional Consultants that work throughout the state in the counties within their respective regions.

The central office contact information is:

Office of EMS
665 Mainstream Drive
Nashville, TN 37243
Phone: 615-741-2584
Toll Free: 1-800-778-4505
Fax: 615-741-4217
Email: tn.health@tn.gov

General Information

Online Renewal System

On March 22, 2018, our online licensure renewal system changed as we transitioned to an integrated licensure database. Here is what you can expect: