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EMS Division

Emergency Medical Services, more commonly known as EMS, is a system that provides emergency medical care. It is activated by a call for help, after an incident of serious illness or injury. The focus of EMS is emergency medical care of the patient(s). EMS is most easily recognized when emergency vehicles or helicopters are seen responding to emergency incidents. But EMS is much more than a ride to the hospital. It is a system of coordinated response and emergency medical care, involving multiple people and agencies.

The EMS Division operates 3 ambulances staffed with professional personnel prepared to respond to nearly any medical emergency 24 hours a day, 365 days a year to over 2,800 call per year. The City of Nogales Fire and Medical Department has provided EMS services since 1984.



Our Community Health Integrated Paramedic Program (CHIPP) services are provided to patients at no cost at this time. Our services are designed to link patients to healthcare and other community resources to prevent unnecessary 911, ED, and impatient use through in-home support.

The Community Integrated Paramedics and EMT's visit patients in-home to"

  1. Obtain and track vital signs: including blood sugar, weight, ECG, Sp02
  2. Support managing medications (in partnership with the Arizona Poison and Drug Information Center)
  3. Provide chronic disease education
  4. Assess homes for fall and environmental hazards
  5. Provide referrals to useful community resources (health system navigation, wellness, social services, nutrition support, home repair)

CHIPP is designed to fill gaps in medical care whule supporting patient care plan consistency.

Other ways CHIPP may help:

    • Pick up a patient's medication from the pharmacy to prevent non-adherence
    • Visit a patient after hospital/ED discharge to support home care instructions
    • Visit a patient in-home prior to home health referral, or between primary care visits.
    • Visit a patient in-home after other in-home services have been discontinued
    • Provide in-home support for patients without access to other in-home services

Ambulance Billing - The City of Nogales Fire and Medical Department has outsourced the Ambulance billing and collection to Fry Fire District:

To make an ambulance payment, please click HERE

The Fry Fire District has been involved in the ambulance transport and billing business since 1976. Ambulance billing and collection became a specialized function of the Administrative Division in June of 1990. They have recently completed several upgrades to their billing systems and internal processes.

For information about Fry Fire District Notice of Privacy and Practices and your Protected Health Information you may contact Linda Romero at This email address is being protected from spambots. You need JavaScript enabled to view it. or 520-378-3276 Ext. 10

The district specializes in tailoring its collection programs to the needs of the entity. Services are all-inclusive and relieve the contracting entity form the majority of their billing, reporting, and record keeping requirements.

The Fry Fire District can provide an estimate for billing services for your Fire / EMS agency or private transportation service. Please contact Linda Romero at 520-378-3276 ext.10 for additional information on these and other ambulance billing services.

www.fryfiredistrict.com/billing/

Fire F.A.Q's

  • When to call 911

    Government website advertise calling 9-1-1 to "Stop a crime! Report a fire! Save a life!" This is because calling this number usually triggers a tiered response by the local police department, fire department, and emergency medical services (EMS) agency

  • What is a medical emergency

    A medical emergency is an event that your reasonably believe threatens your or someone else's life or limb in such a manner that immediate medical care is needed to prevent death or serious impairment of health. A medical emergency includes severing pain, bad injury, a serious illness, or a medical condition that is quickly getting much worse. To help you decide if you should call 9-1-1 answer these questions (as best as you can):

    1. Is the condition life or limb threatening?
    2. Could the condition worsen quickly on the way to the hospital?
    3. If you move the victim, will it cause further injury?
    4. Does the person need skills or equipment that paramedics or EMT's carry right away?
    5. Would distance or traffic cause a delay in getting the person to the hospital?

    Call 9-1-1 if the answer to any of these is yes.

  • What if I'm not sure

    If you're not sure about the answer to the above questions, call 9-1-1 and the trained dispatcher will help advise you. It is better to be safe and let the 9-1-1 call taker determine if you need emergent assistance.

    Always err on the side of caution. When in doubt, call.

    If you experience any of the following, call 911 immediatley

    1. Severe difficulty breathing, especially that does not improve with rest
    2. Chest pain
    3. A fast heartbeat (more than 120-150) at rest especially if associated with shortness of breath or feeling faint
    4. You witness someone faint/pass out or someone is unresponsive (comatose)
    5. Difficulty speaking, numbness, or weakness of any part of the body
    6. Sudden dizziness, weakness or mental changes (confusion, very off behavior, difficulty walking)
    7. Sudden blindness or vision changes
    8. Heavy bleeding from your mouth, nose, vagina or bottom
    9. Bleeding from any wound that won't stop with direct pressure
    10. Broken bones visible through an open wound, or a broken leg
    11. Drowning
    12. Choking
    13. Severe Burns
    14. Allergic Reaction, especially if there is any difficulty breathing
    15. Extreme hot or cold
    16. Poisoning or drug overdose
    17. New severe headache
    18. Sudden intense severe pain
    19. Someone is threatening to hurt or kill themselves or someone else
  • When not to call 911

    1. Routine visits to medical offices, clinics, hospitals
    2. Flu-like symptoms or common colds
    3. Chronic (ongoing) aches or pains
    4. Minor cuts that stop bleeding with pressure
    5. Broken fingers or toes (unless partially/fully amputated)

    At your discretion, for these issues proceed to your nearest clinic or emergency department, but you must likely don't need to call 911.

  • Who will answer my call? What information will they want?

    9-1-1 calls are answered by trained dispatchers who will ask you questions to determine what kind of help you need. As soon as you call, a response is in action but you must stay on the line to answer more questions until the dispatcher tells you to hang up.

    You may be asked:

    1. What happened?
    2. Where are you? (Be specific. This is especially important if you are using a cell phone as the dispatcher may not be able to track your exact location like is possible when you use a land-line)
    3. What is your name?
    4. What is your phone number?
  • I've called 911, what should I do while I wait

    1. Answer all the 9-1-1 call taker's questions
    2. Apply direct pressure to a bleeding wound with whatever cloth/bandages you have
    3. If it is at night, turn on the lights in your home, to make it easier for the ambulance to find you
    4. If you're on a cell phone, make sure to give the call take EXACT information on your location
    5. If you or the other person has Advanced Directives, power of attorney or other legal documents about their wishes for care from the paramedics or hospital, please have these ready when help arrives.
  • What if I call 911 by mistake

    If you call by mistake, DO NOT HANG UP, just stay on the line and tell the dispatcher that everything is OK. If you hang up, they may send a police officer or fire truck to your location to investigate if there is a problem.

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City of Nogales

Residents make Nogales a great place to live, work, play, and visit.

Mayor John Doyle

Contact Us

  Contact Forms
  520-287-6571
  520-287-2230
  777 N. Grand Ave
   Nogales, AZ, 85621

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