The Alexander County Emergency Medical Service (EMS) responds to calls throughout the county relating to any need requiring emergency medical attention.

The main station is located at 2430 Highway 90 East of Taylorsville near the Department of Transportation and houses administrative, billing and training offices as well as two Paramedic crews. A satellite base is located in the Bethlehem Community at 9110 Highway 127 which houses one Paramedic crew.

The Alexander EMS mission is to provide pre-hospital care and transportation to the victims of sudden illness or injury and to provide medically necessary non-emergency ambulance transportation.

Alexander County EMS employs 20 full time employees and a number of part time employees and provides service 24 hours a day, 365 days a year.