Madison County Ambulance District is located just outside the city of Fredericktown, MO in the Ozark Mountain foothills. The service responds to nearly 2,000 calls for service annually. The district operates out of one station with two ALS staffed ambulances on duty 24/7. The service also operates a call in basis transfer ambulance. The district employs 25 highly skilled healthcare professionals. Currently managing the district is paramedic Robbie Buesking. The district also performs billing in house with office hours from 8 am to 4 pm M-F.