All Licensed Services: 
EMS_Agencies_2026-03-01.xlsx /
EMS_Agencies_2026-03-01.PDF
See 202 KAR 7:545 for deeper details on EMS agency license classifications.
Class Ia – (911 Services) – A ground ambulance provider operating at the ALS or BLS level, or both, that shall provide 911 scene response and may provide emergency, nonemergency, or interfacility care and transportation.
Class Ib – (CON-Exempt City and County Services) – A ground ambulance provider operating pursuant to KRS 216B.020(8) at the ALS or BLS level, or both.
Class IIa – (Non-911 Services) – A ground ambulance provider operating at the ALS or BLS level, or both, to provide interfacility care and nonemergency care and transportation.
Class IIb – (CON-Exempt Hospital Services) – A ground ambulance provider operating pursuant to KRS 216B.020(7) at the ALS or BLS level, or both.
Class IIIa – (Adult Critical Care Services) – A ground ambulance provider operating at the ALS level as an adult critical care agency providing critical care interfacility transport services to patients ages twelve (12) and above.
Class IIIb – (Pediatric Specialty Care Services) – A ground ambulance provider operating at the ALS level as a pediatric specialty care agency providing critical care interfacility and specialty care transport services to patients under the age of twentyone (21).
Class IIIc – (Neonatal Specialty Care Services) – A ground ambulance provider operating at the ALS level as a neonatal specialty care agency providing critical care interfacility and specialty care transport services to patients less than twenty-nine (29) days of age.
Class IV – (Restricted Location Services) – A ground ambulance provider operating at the ALS or BLS level to provide emergency and nonemergency care with or without transportation for restricted locations, such as industrial sites or other sites that do not provide services outside the designated geographic service area.
Class V – (Mobile Integrated Health Care Programs) – A mobile integrated healthcare program operating at the ALS and BLS level.
Class VI – (Medical First Response Agencies) – An agency providing medical first response without patient transport at the ALS or BLS level.
Class VII – (Air Ambulance Services) – A rotor or fixed wing air ambulance service providing ALS and BLS 911 scene response or emergency, interfacility, or nonemergency care and air transportation.
Class VIII – (Event Medicine Providers) – An agency utilizing emergency medical services personnel to provide ALS or BLS care at special events, sports events, concerts, or other large social gatherings.
Class IX – (State Special Response Agencies) – An agency providing emergency and nonemergency care as part of a state-sponsored specialty team, such as Kentucky Urban Search and Rescue or other state special response agency, that provides services and conducts trainings throughout the Commonwealth.
Class X – (Nonemergency Out-of-State Reciprocity License) – An out-of-state agency providing nonemergency response that is licensed by and in good standing with another state EMS regulatory body and holds a Certificate of Need to operate a Class III agency in Kentucky.