Greene County Paramedics patch Greene County Paramedics
Greene County, New York

Advanced care
doesn't wait
for the hospital.

Six paramedic units covering every town in Greene County, around the clock. The nearest trauma center can be more than an hour away, so we bring everything a New York paramedic is allowed to use to your driveway, and the equipment to keep you stable for the whole ride.

What rides in our trucks How the fly car system works
6Paramedic units
24/7365 days a year
13Towns served
4,125Calls in 2025
The fly car system

You call 911.
We're already
moving.

Your local ambulance responds, and so does a Greene County Paramedic in a rapid-response SUV. The truck carries every medication and intervention New York State allows a paramedic to provide, plus the monitors, infusion pumps and ventilators you would normally only see on a critical-care transport unit.

Every call we run is a 911 call. We don't do inter-facility transfers. The model was built for a county of mountains and long roads, and we have been refining it since August 1, 2000.

Read our full history
Medic 7 beside a Town of Coxsackie ambulance with a medical helicopter landing behind
"When it's serious, we ride with you." For critical patients, the paramedic rides in the ambulance with you all the way to the hospital, however far that is.
Capabilities

Not your average
ambulance call.

Our equipment and protocols are built around one problem: long transports with sick patients. Here is some of what rides with us.

Flagship program An ICU-worthy ventilator, in every car The Hamilton T1, the same ventilator used by critical-care transport teams, rides in every fly car. Three years in, here is what it has meant for patients.
Precision infusions The same infusion pumps a hospital uses, so a drip started on scene runs at the right rate all the way to the ER.
Every ALS medication Every medication a New York paramedic is allowed to carry, on every truck, every shift.
Technical rescue Some of our paramedics are also trained for rope, high-angle and swift-water rescue, because in the Catskills the patient is not always next to the road.
Recognized, repeatedly REMO Agency of the Year, 2005 · 2015 · 2023
Excellence in Quality & Innovation, 2024
ALS Provider of the Year, 2023
Medic 9 in front of the Catskills in fall color
Coverage

Five stations.
Six hundred
square miles.

From the Hudson River to the mountains of the Catskills, a paramedic is stationed within reach of every town. We are the primary ALS agency for eleven of them and provide mutual-aid ALS to Catskill and Windham. We also respond into Albany, Columbia and Schoharie counties when they call.

Medic 3 · Cairo HQCairo, Durham, Leeds · back-up to Catskill
Medic 5 · CoxsackieAthens, Coxsackie, New Baltimore
Medic 7 · FreeholdDurham, Greenville, Medway-Grapeville
Medic 8 · PrattsvilleAshland, Lexington, Prattsville
Medic 9 · HunterHunter, Jewett, Lexington · back-up to Windham
Medic 1 · Chief of OperationsCountywide, as needed · based in Cairo
Station details and full service area
Careers

Come practice at the top of your certification.

Long transports, real critical care, and a leadership team that invests in you. We are hiring paramedics on an ongoing basis.

From the agency

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Three Hamilton T1 ventilators stacked on a table with a test lung Program review · 2026 Prehospital Ventilator Program: Three-Year Review What three years of ICU-worthy ventilation in the field has meant for Greene County patients.
Medic 7 window with the Star of Life and two stork stickers
Coming January2026 Year in ReviewCall volume, new programs, awards, and what's next for 2027.
A Greene County paramedic setting up an outreach table with equipment at a firehouse
CommunityOutreach & eventsStandbys for community events, school visits, and station tours. Email the Chief to request one.
$44,400
Grant award$44,400 from the Berthe M. Cote FoundationFunding new critical-care equipment for our fly cars. Read more →
Greene County Paramedics Greene County Emergency Medical Systems, Inc.
A 501(c)(3) not-for-profit corporation · NYS Agency 0571 In an emergency, always call 911.

Contact us

Questions, standby requests, records, or anything else: email us directly. We answer within two business days.

Applying for a job? Download the application on the Careers page and email the completed form to Chief@greene-ems.com.
Steve Near Chief of Operations Chief@greene-ems.com
Patricia McAneny Deputy Chief deputychief@greene-ems.com
Office: (518) 622-8092 · 93A County Route 84, Cairo, NY 12413 · PO Box 655, Cairo, NY 12413
For emergencies, always call 911. Email is not monitored around the clock.
© 2026 Greene County Emergency Medical Systems, Inc. Serving Greene County since August 1, 2000