 patient transport) and emergency (9-1-1 calls) services, but many ambulance services and EMS agencies operate both non-emergency and emergency care.In many places across the United States, it is not uncommon for the primary employer of EMRs, EMTs, and Paramedics to be the fire department, with the fire department providing the primary emergency medical system response including "first responder" fire apparatus, as well as ambulances.In other locations, such as Boston, Massachusetts, emergency medical services are provided by a separate, or “third-party”, municipal government emergency agency (e.g.