Emergency Medical Services (EMS)

IntermedixThe City of Key West uses a third party company, Intermedix, an R1 company, to handle the payment of bills for ambulance rides. To access an outstanding bill, please refer to the Intermedix payment portal.


7900 NW 154th Street
Suite 201
Miami Lakes, FL 33016
Customer Service Line for Billing: 1-888-987-1481

Records Request

Since April 1st, 2015, The Key West Fire Department has provided complete Emergency Medical Services (EMS) for the city. The integration of the Fire Department and EMS means streamlined, more efficient services to the residents and visitors of Key West. Of the 88 members of the Key West Fire Department, 83 are EMTs and 22 are paramedics.

Three new Horton ambulances are housed at each of the fire stations and are ready to roll at a moments notice. Their arrival was part of an historic transition in the 140 year history of the Department. Much of the nation has already integrated its fire and EMS. With the deployment of these new vehicles in April, the KWFD entered the ranks of efficient, effective cities nationwide.