Somerset Central dispatches 8 fire companies and two ambulance companies. All are entirely volunteer staffed with the exception of Station 5 - Princess Anne Fire Department/EMS which employs an ALS provider 24 hours a day.

Station 1, Ewell Fire Department and Station 7, Tylerton Fire Department serving island communities, respond EMS personnel to all medical calls and arrange for patient transport by boat or by the Maryland State Police helicopter to either McCready Memorial Hospital in Crisfield or Peninsula Regional Hospital Center in Salisbury on the mainland.

Due to the distance from the ambulance station in this largely rural county, Station 3 - Marion Fire Department, Station 4 - Deal Island Fire Department, Station 6 - Mt Vernon Fire Department and Station 9 - Fairmount Fire Department respond an EMS crew on every medical call in their jurisdictions.

Station 1 - Ewell Fire Department

Station 2 - Crisfield Fire Department

Station 3 - Marion Fire Department

Station 4 - Deal Island/Chance Fire Department

Station 5 - Princess Anne Fire/EMS Department

Station 6 - Mt Vernon Fire Department

Station 7 - Tylerton Fire Department

Station 8 - Lower Somerset Ambulance & Rescue Squad

Station 9 - Fairmount Fire Department