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Meramec Ambulance District was formed in 1972 by public vote to provide ambulance service to the Pacific, Catawissa, Robertsville, Gray Summit, Labadie, St. Albans and Villa Ridge areas. The District was created under the state ambulance district law, Chapter 190 of Missouri statutes. The District was preceded by the Meramec Volunteer Ambulance Service which was begun by area residents in July of 1969. The District is authorized to collect a maximum of 30 cents per $100 assessed valuation of property taxes to finance its operation. These property taxes are an important part of the District’s income and financial management.

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Currently the District responds to over 4,000 calls per year. The District contracts with Central County Emergency 911 for dispatching services. Emergency calls are received in cooperation with surrounding dispatch agencies utilizing the enhanced 911 system. Central County Emergency 911 Dispatch utilizes the latest computerized dispatching equipment. Its dispatchers are trained and certified to provide medical care instructions to those awaiting the arrival of the ambulance. In the instance where air-medical services are needed, the closest air-ambulance is utilized.

When all district ambulances are committed to emergency calls, a neighboring district will provide EMS for our district through a pre-established agreement known as mutual aid. This will also provide "move-up" ambulances to the District for additional emergency calls arriving at the dispatch center.

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The District is staffed with 30 full-time employees and maintains a part-time EMS staff of approximately 20 personnel. All EMS personnel are licensed Emergency Medical Technicians (EMT), Paramedics (EMT-P), Registered Nurses (RN) or Critical Care Paramedics (CCEMT-P). Three Paramedics are designated with the rank of Battalion Chief. Battalion Chiefs are responsible for the day-to-day operations of the District and supervise EMS personnel. All EMS crews provide advanced life support, using the latest medical equipment and techniques in emergency medical care. 



The Board of Directors of Meramec Ambulance District are elected by the residents. Board members serve a 3-year term, staggered so that 2 members are elected every year. Board meetings are open to the general public where residents can and are encouraged to attend. Board meetings are held at the District's Administration Building (Station 2) every 3rd Monday of every month at 6 p.m. Click HERE for a map of the Subdistricts.

  • Shelby Cox

    • Subdistrict 1

  • Curt Saitta

    • Subdistrict 2

  • Katherine Hodge

    • Subdistrict 3

  • Floyd Blake

    • Subdistrict 4​

  • Justin Smith

    • Subdistrict 5

  • Tom Lyons

    • Subdistrict 6


Year Established


Coverage Area

(Square Miles)


Calls for Service in 2021


Fulltime Ambulances 24/7



CPR and First Aid Training


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District Headquarters
(Station 2)

3279 Highway 100

Villa Ridge, MO 63089

Phone: 636-451-5816

Fax: 636-451-5835

Station Locations

  • Station #1-Pacific

  • Station #2-Villa Ridge

  • Station #3-Robertsville

  • Station #4 (under reconstruction)

    • Boles Fire Station #4​

      • 741 Highway T, St Albans, MO 63069​​​

Contact Us

In case of Emergency, call 911!

For Emergencies, Dial 911

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