[2] The service is operated directly as a branch of the municipal government as an independent, third-service option provider, which means that the service is funded by the municipal tax base, and operates in much the same manner as any other municipal department, such as the police or fire department, or in some cases like a public utility, but retains its complete independence from all other departments.
Middlesex-London employs 400+ Primary and Advanced Care Paramedics and Support Staff.
[4] Service is provided to a residential population of approximately 500,000 people, in the 9 local townships of Middlesex County.
[5][2] Middlesex-London Paramedic Service operates a total of 13 dedicated Paramedic response stations, geographically distributed across the 1,447 square miles (3,700 km2) of the Middlesex County, as well as their headquarters, where some ambulances are deployed from and assigned to other stations across the city.
[2] Emergency service headquarters is located at 1035 Adelaide Street South in London.