 Hamilton EMS operates from 18 joint EMS/fire stations, and two EMS exclusive operation centres.Hamilton Paramedic Service transports patients to Hamilton General Hospital, Juravinski Hospital (formerly Henderson Hospital), St. Joseph's Healthcare Hamilton or McMaster Children's Hospital/McMaster University Medical Centre.Patient's transported by ambulance are not accepted at Urgent Care Centres in Hamilton[1]

Hamilton Paramedic Service operates under the direction of Hamilton Central Ambulance Communications Center or CACC "Kaack").