Yes, many city ambulances are operated by the One Team One Mission Police Fire Ems Tow shirt(whether the cross-trained firefighters like EMTs / Paramedics or two people are separated under the FD government), and many cities contract with Private companies for EMS services. But there is actually a so-called Third Service (that is, Police, Fire and EMS services) by municipalities completely separate from the Police and Fire Department.
Source: Punchtee.com
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