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.
Ambulance relicensure 2026:
- Relicensure memo (sent to all ambulance services on 9/8/2026)
- EMS for Children webpage (PECC information and application)
- Equipment list (include one for each vehicle or aircraft utilized by your agency).
- Transport Plan Template
EMS Personnel / Agency Registry (Big Picture) - *Please note: Upon your initial access to the Big Picture system you will need to create a new password. Squad Leaders please follow the instructions 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.
North Dakota Licensed EMS Agencies (list) (05/06/2025)