Two Big River Ambulance District EMT Medics in the back of an ambulance preparing for their next EMS Mission in the Big River Area.

911 First Responders for Jefferson County

Two Big River Ambulance District EMT Medics retrieving a gurney from their Ambulance

Big River Ambulance District's Chief Scott Fisher and his EMT Medical Vehicle in the Jefferson County MO area

Since 1975, Big River Ambulance District and its emergency response teams have answered the calls of residents across 125 miles in Jefferson County, MO. The District serves the cities of:

Byrnesville
Cedar Hill
Dittmer

Morse Mill
Hillsboro

House Springs
Grubville

Led by Chief Scott Fisher (since 2021), Big River is equipped with three Advanced Life Support (ALS) ambulances that run calls around the clock every day of the year. The District averages 3,500 emergency (911) calls per year.

Big River Ambulance District EMT Medic preparing for their next EMS Mission in the BIg River Are

Big River Ambulance District breaking ground on their new location of House #1 in the Jefferson Country area

Construction on District House #1

On November 25, 2023, Big River Ambulance District broke ground on the new location for House #1, which will also serve as the District headquarters. The taxpayers approved the new project via the Proposition Safety bond issue, which was on the ballot in 2022. The new location will be completed in late 2024.

Careers and EMT Jobs with the District

Learn more about job opportunities, including EMT and paramedic positions at Big River Ambulance District. Check our careers page frequently to learn more about open positions and apply online.

See Open Positions

Forms for District Residents

Residents can access forms online to notify the District about insurance coverage (for ambulance services) or to request their medical records.

Access Forms

Big River Ambulance District EMT utilizing their radio and ambulance in preparation for their next EMS mission

Resources & Safety Tips

Every month, Big River Ambulance District publishes a new safety tip. Read the latest tip and explore our archive of previous safety tips and advice. Visit our Resources page to find information related to sharps disposal locations and learn about upcoming CPR, first aid, and babysitting classes.

Read Safety Tips

Community Events Hosted by Big River Ambulance District

See Community Events

Big River Ambulance District Board of Directors

A Board of Directors advises and oversees the Big River Ambulance District. The Board is composed of six elected members, who meet once per month. The Board approves managerial and financial decisions for the District, and members are elected to serve three-year terms.

Josh Williams, a resident of Dittmer, currently serves as the District's Board of Directors Chairman.

Big River Ambulance District EMT Medic in the back of an ambulance preparing for their next EMS Mission in the BIg River Area.

See Board of Directors

Meet Our Proudly Sponsored Partners