In accordance with North Dakota Century Code 23-27, all EMS agencies must be licensed by the North Dakota Department of Health and Human Services; Emergency Medical Systems.

EMS Personnel / Agency Registry (Big Picture) - *Please note: Upon your initial access to the new Big Picture system you will need to create a new password. Squad Leaders please follow the instructions HERE to review your agency information and rosters. At this time squad leaders have the ability to review their personnel and vehicle rosters and print agency license. The ability to add/remove personnel or vehicles is not yet available. Please email any needed changes to:

Ground Ambulance Licensure 2022 - 2024

Air Ambulance Licensure

  • Ambulance Inspections (Information to come)
  • Transport Plan Information

Quick Response (QRU) Licensure 2023 - 2025


North Dakota Licensed EMS Agencies (list)

North Dakota Ambulance License Initial Application Supplement (Needs Assessment)