Caledonia Essex Ambulance Service, CALEX is a private, non-profit 501c3 organization founded in 1984, when Northeastern Vermont Regional Hospital in St. Johnsbury divested itself of the ambulance service.

Ten full-time and over 30 paid part time employees respond to over 300 square miles in the most rural part of Vermont, commonly called the “Northeast Kingdom.”  CALEX provides paramedic level emergency, non-emergency and specialty care transports for up to 13,000 full-time residents, workers and seasonal tourists on any given day.  We serve the towns of St. Johnsbury, Barnet, Concord, Waterford, Kirby and Victory, with three ambulances and a paramedic intercept truck. In 2011 our number of calls was  2079. CALEX staffing includes two staffed ambulances during weekdays, with part time staff manning a single ambulance in quarters on nights and weekends.


We provide primary backup ambulance service to 14 surrounding towns, and paramedic intercepts to 21 towns in Caledonia and Essex counties. At this time CALEX is the only service based in Caledonia and Essex counties providing paramedic level care. We respond routinely with first response units in St. Johnsbury, Concord, Waterford, and Barnet and utilize a priority dispatch system, cutting our “lights and siren” response 50% since its inception.


CALEX offers public CPR & First Aid classes on a monthly bases. A schedule & registration are available at the "CPR Training" page  CALEX has been recognized statewide in 2000 & 2008 as VT  Ambulance Service of the Year, 2001 for VT EMS Leader of the Year, and  2002 for VT Paramedic of the Year, 2006 Governor’s Award for Workplace Safety. We also feature a successful ambulance subscription program with over 600 enrolled already, with more planned.

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