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Welcome to Jefferson County

Emergency Medical Services District


For over 30 years, Jefferson County Emergency Medical Services District (JCEMSD) has been the exclusive provider of 24-hour emergency medical services across 1,500 square miles in Jefferson County, Oregon. JCEMSD provides advanced life support services to approximately 23,000 residents and responded to more than 2300 calls last year with a fleet of 4 ambulances. Crews fight for life in the harshest of conditions including remote locations, rural terrain, unpaved roads and weather conditions that can quickly turn sour. Our staff includes EMT's, A-EMT's and Paramedics who stand ready to help in the event of a medical crisis.

Our commitment to individual dignity and quality is the foundation of our success.



Contact Us

NOTICE: On May 16th, 2023 during a special election, the ballot to dissolve Jefferson County Emergency Medical Service District passed. Effective June 30, 2023, this agency will cease to exist. This web page will close shortly after. 

It has been a privilege to serve our community for 36 years. We wish the new Jefferson County Fire & EMS success in the future. 

765 South 5th St

PO Box 30

Madras, Oregon 97741 


Ph: (541) 475-7476   

Fax: (541) 475-7654


Jefferson County EMS District has a position open for Board Member, Position 3. The District will be accepting letters of interest until 5:00 pm, May 31st (in hand, not postmarked). Please submit letters of interest to the JCEMSD Board, PO Box 30, Madras, OR 97741. You may also submit electronically to Chief Lepin at or hand deliver to the JCFD#1 or to any current board member.


As of April 14th our business office will be moved to the Jefferson County Fire Dist. #1 location, 765 S 5th St, in preparation for the upcoming merge. Our phone lines will be in the process of moving as well. We thank you for your patience during this time of change. 

NOTICE MEETING  LOCATION & TIME CHANGE: Starting in May 2022; the JCEMSD Board Meeting will be held in a combined meeting with the Jefferson County Fire District Board Meeting. The meetings will be held at the Jefferson County Fire District #1 station at 765 S. Adams Drive on the 2nd Tuesday of the month at 5:30 pm. The first meeting will be on May 10th, 2022.

See Below for Consolidation Work Group Meetings

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