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WNY’s Family Owned Ambulance Service

Around the Clock Emergency Medical Services

Twin City Ambulance delivers all levels of pre-hospital emergency care, non-emergency services, event medical services, and inter-facility transportation in WNY. Based in Buffalo, NY, we provide emergency and non-emergency ambulance services throughout Erie and Niagara Counties. Family-owned and operated, we know our community and work diligently to ensure essential ambulance services are available!

We are proud to be the only family-owned ambulance company in the Buffalo Niagara region. Your safety is our number one priority, and our goal is to ensure customer satisfaction at all times.

Ambulance EMTs with Twin City Ambulance

We Are Always Hiring!

Our Services

Our Mission

Our mission is to provide the highest quality pre-hospital care, tailored to the needs of those we serve, and to treat our patients, partners, and customers as family.


Twin City Ambulance provides emergency medical treatment and transportation by an appropriately staffed and equipped ambulance. We respond to 911 or other emergency calls.

Our ambulances are equipped with defibrillators, cardiac monitors, 12-lead ECG, oxygen therapy, advanced airway procedures, splinting and fracture management, bleeding control, IV therapy, pain management, and medications to manage a variety of medical conditions, including neurological problems, cardiac problems, shock, allergic reactions, and respiratory emergencies.

Event Medical Services

New York State requires that an EMS must be available on-site for all public events with more than 5000 attendees. We are proud to offer this service to WNY. You can count on us to be on standby to provide immediate response, treatment, and transportation if necessary.

We have experience with both large and small-scale events, including high school, collegiate, and professional sporting events, concerts, and many other events, including the Greater Buffalo Italian Festival, Canal Fest of the Tonawandas, and the Allentown Art Festival.


We provide medically necessary ambulance transportation to patients who require non-emergency ambulance services. Most commonly, non-emergency services are used for hospital discharges, inter-facility transfers, and long-distance transfers.

Please note that insurance coverage of non-emergent medical transport does require that the transport meets medical necessity criteria. This typically requires a Certificate of Medical Necessity/Physician Certification Statement from the patient’s medical provider stipulating reasons the patient requires an ambulance and cannot be transported by other means, such as a personal vehicle, wheelchair van, or ambulette services. Medicaid and most commercial insurance require prior authorization for this type of transport. If prior authorization is not obtained at the appropriate time before transport, insurers will often deny coverage and push the entire cost to the patient. Please be sure to speak with us and let us help guide you on what is required before transport to make sure your insurer covers your financial costs.

EMS Training

In addition to our around-the-clock emergency medical services, we provide education to our staff, other medical personnel, and the public on life-saving practices.

Twin City provides CPR, ACLS, ITLS, PALS, PHTLS, Stop the Bleed, and a variety of other training courses. Whether you are a babysitter interested in a First Aid course or a physician interested in life-saving trauma techniques, we have experienced instructors that will provide the knowledge you need.

Learn More Here

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Ambulance team with Twin City Ambulance

About Twin City Ambulance

Twin City Ambulance has been providing emergency and non-emergency ambulance services to WNY since 1955. Family-owned and operated, our level of care and involvement in the community is unmatched. As part of the WNY community, we share our patients’ passions and concerns. When it comes to providing care, everyone at Twin City Ambulance is involved. We are proud to continually provide EMS training opportunities and careers for certified EMTs.

Our History

Twin City Ambulance began as a two-ambulance, four-employee operation in 1955. After just one year, Gerald Clark, a 24-year-old part-time Twin City Ambulance employee and full-time factory worker, cashed in his savings account, borrowed money from his parents, and, with the help of a friend, purchased the company.

In exchange for his original $18,000 investment, Gerry received two ten-year-old ambulances and the use of an eight-foot by six-foot room at DeGraff Memorial Hospital in North Tonawanda, which became Twin City Ambulance’s headquarters. Gerry and his three employees worked twenty-four hours per day, seven days per week, to staff ambulances and keep the company running. In those days, Twin City Ambulance responded to less than 100 calls per year.

In the beginning, there was little medical training. When Gerry talked about the good old days of ambulance service, he said, we were little more than horizontal taxis. As the industry evolved, and with Gerry’s urging, local training became more standardized. In the late sixties, Gerry became one of the first EMTs in the WNY area.

The standard of care continued to improve through the years and in 1985, Twin City Ambulance went online with its first paramedics. Later that year, at age 54, Gerry enrolled in paramedic school. Even though he never graduated from high school, Gerry worked hard, graduated, and became a paramedic. When asked why he became a paramedic, Gerry said, “Because I wanted to understand first-hand what paramedics do. I could not have run the business properly without that understanding.” Gerry continued to work the ambulance well into his sixties.

Until his passing on December 8, 2013, Gerry continued to serve as our Chairman of the Board, and his family still owns the company today.

Our Service Area

Our service area includes:

  • City of Tonawanda
  • City of North Tonawanda
  • Adams Fire District
  • City of Lockport
  • Town of Tonawanda
  • Village of Kenmore
  • Town of Amherst
  • Village of Williamsville
  • Town of Clarence
  • Town of Newstead
  • Village of Akron
  • Grand Island
  • Frontier Fire District
  • Wendelville Fire District
  • South Lockport Fire District
  • Rapids Fire District

For more information, get in touch with us at 716-692-2342.


Twin City Ambulance
555 Commerce Drive
Buffalo NY, 14228


Open 24 hours

Proud Members of:

United New York Ambulance Network logo
American Ambulance Association logo
Chamber of Commerce of the Tonawandas logo

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