 The service operates over 250 ambulances, with 16 permanent staff and 2,000 volunteers on a continuous basis in 46 first-aid centres.Services are managed through a radio communication system from 4 central operation rooms, one in the capital city of Beirut, one in Tibnin in the South, one in Tripoli, Lebanon and the last in the Bekaa.The first-aid and ambulance organization represents the backbone of emergency medical disaster preparedness in the country.