First Call Ambulance

Emergency Medical Servicesfirstcall-ambulance.com

First Call Ambulance is a private EMS provider in Middle Tennessee delivering 911 emergency response, ALS/BLS, critical care, and interfacility ambulance services across roughly 20 counties as a brand under Priority Ambulance.

Company typePrivate
Founded2004
HeadquartersNashville, United States
Headcount251–500
GTM typeB2B
OfferingServices

What First Call Ambulance does

First Call Ambulance is a private emergency medical services (EMS) and medical transportation provider operating across Middle Tennessee from its headquarters in Old Hickory, Tennessee. Founded in 2004, the company delivers a full spectrum of ambulance services — Emergency 9-1-1 response, Advanced Life Support (ALS) and Basic Life Support (BLS) transports, Specialty and Critical Care Transports, Interfacility Transports between healthcare facilities, and Event Standby medical coverage — and currently serves approximately 19 to 20 counties in the region, including Davidson, Rutherford, Williamson, Montgomery, and others.

The company operates as a brand under Priority Ambulance, a multi-brand national EMS operator headquartered in Knoxville. From a technology perspective, First Call runs a traditional EMS operating stack: computer-aided dispatch tied into county 911 systems, a HIPAA-compliant patient records workflow, and three disclosed third-party integrations — PersonaPay for online patient payments, SurveyMonkey for post-service satisfaction collection, and Salesforce/ChartSwap for medical records requests. There is no proprietary software platform being sold; the product is the physical service itself, delivered through staffed ambulances, paramedics, EMTs, and dispatchers.

Revenue is generated through three streams: emergency 911 transport billings (reimbursed via Medicare, Medicaid, private insurance, and patient responsibility), scheduled non-emergency interfacility and specialty transports for hospitals, nursing homes, and dialysis centers, and event standby contracts with venues and organizers. The customer base is geographically distributed across county governments, healthcare facilities, and individual patients, with government RFPs for exclusive-provider franchises representing the most strategically important wins, exemplified by becoming the exclusive emergency and non-emergency provider for Humphreys County in 2023.

First Call Ambulance firmographics

Firmographics

Name: First Call Ambulance
Legal name: First Call Ambulance
Website: https://firstcall-ambulance.com
Company type: Private
Founded year: 2004
Operating status: Operating
Headcount range: 251–500 employees
Short description: First Call Ambulance is a private EMS provider in Middle Tennessee delivering 911 emergency response, ALS/BLS, critical care, and interfacility ambulance services across roughly 20 counties as a brand under Priority Ambulance.
Ownership category
akta.pro rank

First Call Ambulance industry classification

Industry

Product category: Emergency Medical Services
NAICS: Ambulance Services (621910), Ambulance Services (62191), Telephone Answering Services (561421)
SIC: Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)
akta.pro primary industry: Private EMS Providers (Contract/Interfacility) (HLAFANAB)
akta.pro secondary industries: Emergency Medical Services (EMS) & Ambulance Services (BPAIAGAC), Dispatch, Communications & Medical Control Centers (PSAP/ECC) (HLAFANAK), Emergency Medical Services (EMS) Operations & Dispatch (HLAJAGAC)

Keywords

Emergency medical services
Ambulance transportation
Advanced life support
Interfacility patient transport
Event medical standby

Where First Call Ambulance is headquartered

Location

Headquarters

HQ city: Nashville
HQ country: United States
HQ region: North America

Offices2 records

Markets served

First Call Ambulance business model

Business model

GTM type: B2B
Offering type: Services
Cost components: Personnel, Operations, Infrastructure, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

Emergency 9-1-1 Services: Emergency ambulance response through 911 dispatch system. Revenue derived from insurance reimbursements, Medicare/Medicaid billing, and patient co-pays for emergency transports.
Non-Emergency Medical Transports: Scheduled ambulance transports including Advanced Life Support, Basic Life Support, Specialty Care/Critical Care Transports, and Interfacility Transports between healthcare facilities. Revenue through insurance, Medicare/Medicaid, and direct billing.
Event Standby Services: On-site emergency medical standby at events. Revenue likely through event organizers or venue contracts.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

First Call Ambulance product offering

Product offering

Core offering

First Call Ambulance is a private emergency medical services provider offering emergency 9-1-1 response, advanced and basic life support transports, specialty/critical care transports, interfacility patient transfers, and on-site event medical standby services across 20 counties in Middle Tennessee. The company operates as a brand under Priority Ambulance, delivering services through county government contracts, healthcare facility partnerships, and direct patient billing with insurance, Medicare, and Medicaid reimbursement.

Product overview

First Call Ambulance operates as a comprehensive emergency medical service (EMS) provider within the Priority Ambulance network. The company offers a unified portfolio of ambulance and medical transportation services rather than a software platform. Services include Emergency 9-1-1 response, Advanced Life Support (ALS) and Basic Life Support (BLS) transports, Specialty/Critical Care Transports, Interfacility Transports, and Event Standby services. All services are delivered across 19 counties in Middle Tennessee from the company's headquarters in Old Hickory, TN. In 2023, First Call Ambulance achieved a milestone by becoming the exclusive provider of both emergency and non-emergency ambulance services for Humphreys County.

Differentiator

Problem solved

Functional benefit

Products and services

Emergency 9-1-1 Services Emergency medical response services providing immediate 9-1-1 dispatch for life-threatening emergencies across Middle Tennessee service areas. Revenue derived from insurance reimbursements, Medicare/Medicaid billing, and patient co-pays.
Advanced Life Support (ALS) Transports Paramedic-level medical transport services providing advanced emergency medical care during patient transfers. For patients requiring higher-level medical intervention during transport.
Basic Life Support (BLS) Transports EMT-level medical transport services for non-emergency patient transfers requiring basic medical monitoring and care. For patients needing scheduled medical transport without advanced interventions.
Specialty Care / Critical Care Transports Specialized medical transport for critically ill patients requiring intensive care monitoring and advanced life support equipment during transit. For hospitals and healthcare facilities needing ICU-level transport capability.
Interfacility Transports Hospital-to-hospital and facility-to-facility patient transfer services for continuity of care between medical institutions. For hospitals, nursing homes, and healthcare facilities requiring scheduled patient transfers.
Event Standby Services On-site emergency medical personnel and ambulance standby services for events, sporting activities, and large gatherings. For event organizers, venues, and facilities needing on-site medical coverage.
Non-Emergency Ambulance Services Scheduled medical transportation for patients requiring ambulance transport to appointments, dialysis, and other non-urgent medical facilities. For patients with scheduled medical appointments who need ambulance-level transport.

Companies that use First Call Ambulance

Customer profile

Named customers1 record

Segments4 records

Ideal customer profiles3 records

First Call Ambulance technology and API

Technology

Technology focussed No

API detail

Has API: No
API docs
API detail

Core technology

AI maturity

App detail

Integration3 records

First Call Ambulance partnerships and signals

Strategic signal

Scale indicators3 records

Recent moves4 records

Expansion highlights4 records

First Call Ambulance competitors and assessment

Company assessment

Broad incumbents

American Medical Response (AMR): Largest private ambulance provider in the United States, operating across 40+ states with municipal 911 contracts, interfacility transports, and event medical services. Directly competes with First Call for county and healthcare facility contracts at a national scale.
Falck USA: U.S. subsidiary of global Falck Group, one of the world's largest EMS providers. Operates 911 and interfacility ambulance services across multiple states with comparable service offerings to First Call.
Global Medical Response: Parent company of AMR and other EMS brands, formed via private equity roll-up. Largest U.S. medical transportation conglomerate with 911, interfacility, and air ambulance services directly comparable to First Call's offerings.
Rural Metro Ambulance (now part of GMR): Historical private ambulance provider in suburban and rural markets, now integrated into Global Medical Response. Provides the same 911, ALS, and interfacility services First Call offers, typically in lower-density counties like those in First Call's Tennessee footprint.

Direct peers

Life Ambulance Service: Regional private ambulance provider operating in the Southeast U.S., offering 911 response, ALS/BLS, critical care, and interfacility transport. Comparable mid-sized competitor for healthcare facility and municipal contracts in Tennessee and adjacent states.
Priority Ambulance: First Call's parent company and operator of a national portfolio of EMS brands. Directly comparable as a multi-state private ambulance provider offering 911, interfacility, and event standby services across the same product categories.
Acadian Ambulance: Private multi-state ambulance service headquartered in Louisiana, providing 911 response, ALS/BLS, critical care, and interfacility transports. Comparable in service mix and private operating model, with similar regional concentration strategy.

Regional players

Medic Medical Services: Private EMS provider serving specific metropolitan areas. Comparable service mix but typically focused on a single urban market rather than First Call's multi-county regional approach.

Others

Air Methods: Largest air ambulance provider in the U.S., providing critical care transport for high-acuity patients. Complementary to First Call's ground critical care transport offering and a potential partner for specialty transport referrals.
HCA Healthcare EMS Partners: Large hospital system operating in Tennessee that contracts with private ambulance providers for interfacility and 911 services. Represents both a key customer segment for First Call and an adjacent healthcare delivery player influencing demand.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

First Call Ambulance compliance and trust

Trust signal

Compliance1 record

First Call Ambulance financial estimates

Financial estimate

Revenue estimate

Valuation estimate

First Call Ambulance leadership team

Management profile

Number of profiles

Profiles1 record

First Call Ambulance funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

First Call Ambulance M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about First Call Ambulance

What does First Call Ambulance do?

Is First Call Ambulance a public or private company?

First Call Ambulance is a private company. It is classified as corporate owned and is currently operating.

When was First Call Ambulance founded?

First Call Ambulance was founded in 2004. It employs 251 to 500 people.

Where is First Call Ambulance based?

First Call Ambulance is headquartered in Nashville, United States, in the North America region.

How does First Call Ambulance make money?

Three revenue lines are on record. Emergency 9-1-1 Services are the primary driver. The others are non-Emergency Medical Transports and event Standby Services.

Who are First Call Ambulance's main competitors?

Broad incumbents on record are American Medical Response (AMR), Falck USA, Global Medical Response and Rural Metro Ambulance (now part of GMR). Direct peers are Life Ambulance Service, Priority Ambulance and Acadian Ambulance. Medic Medical Services is listed as a regional player. Others are Air Methods and HCA Healthcare EMS Partners.

Does First Call Ambulance have an API?

No public API is recorded for First Call Ambulance.

What industry is First Call Ambulance in?

First Call Ambulance's product category is Emergency Medical Services. Its primary akta.pro industry code is HLAFANAB, Private EMS Providers (Contract/Interfacility), with a secondary code of BPAIAGAC, Emergency Medical Services (EMS) & Ambulance Services. Its NAICS code is 621910 and its SIC code is 8000.