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Paramedic Systems was incorporated in the State of Rhode Island in 1986. In February of 1989 PSI purchased Alert Ambulance Service, of Fairhaven, Massachusetts. Alert was a small company of four vehicles, and twelve employees. During the past sixteen years Alert Ambulance Service has grown to include a corporate headquarters located in Fall River, Massachusetts and ten satellite locations across Massachusetts and Rhode Island.

The Fall River location was opened in 1989, and began providing 24-hour seven day a week coverage to Rhode Island and Massachusetts. This location provides both advanced and basic life support ambulance transportation. In 1991, Alert purchased its first wheel chair van, and the Alert Chair Car Division was created. Also in 1991, John Moss became the sole owner and president of Alert/PSI. In 1992, a location was opened in Cranston, R.I. with a Wakefield, RI location following in 1995. The additional acquisition of Ocean State Ambulance in 1995 allowed Alert Ambulance to provide the South County area of Rhode Island with 24-hour advanced life support coverage. The purchase of Medi-Coach wheel chair van service in 1997 allowed for expanded chair-car service in the southeastern Massachusetts area. 


In the spring of 2000 Alert was awarded the contract to provide ambulance transportation service to the Boston area Veteran Hospital. The advent of these contracts allowed Alert to expand into the greater Boston area, where in 2004 Alert opened it's 10,000 square foot facility in Hyde Park Massachusetts.

Alert made its largest purchase to date in December of 2005, acquiring Pathways Ambulance Service Ltd. Pathways was located in Central and Western Massachusetts. Included in the purchase were numerous contracts with municipalities to provide 911 and 911 backup services. With the purchase of Pathways, Alert Ambulance's service area includes all of Rhode Island and 10 out of 14 counties in Massachusetts.


In May 2008 Alert became the preferred provider for Roger Williams Medical Center in Providence RI. Alert grew in Massachusetts with expanded territories for our Veteran Hospital contract. In late 2008, Milford Whitinsville Regional Hospital stopped its paramedic intercept service, Alert responded by increasing its resources in the area. Alert has signed numerous backup/intercept agreements with the area municipalities and was awarded a contract with Milford Whitinsville Regional Hospital.

Alert continues to grow in Massachusetts and is expanding each year. Alert together with its employees strive to provide the best care possible for our patients.