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The EMS division has eight base locations across the county:
Paramedics and EMT's are based at these locations ready to respond to any emergency 24-hours per day.
Randolph County EMS is also supported by two franchised EMT-Intermediate ambulance services; Ash-Rand Rescue & EMS, Inc. and Piedmont Triad Ambulance and Rescue, Inc. These private non-profit agencies respond to emergency and non-emergency calls, as well as handle most convalescent transports.