Madison County EMS is a CAAS accredited agency.  We are located in a rapidly growing central Kentucky county of over 90,000 residents. We provide basic and advanced life support services for the entire county including the cities of Berea and Richmond.  Our geographical coverage area is over 443 square miles and we respond to approximately16,000 calls annually. We operate eight 24-hour ALS units with an additional impact unit during peak times. MCEMS has four EMS stations strategically located throughout the county.