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You're in caring hands with NOCA.  NOCA’s staff utilizes the most current technology and training while providing emergency medical treatments to those who are sick or injured.


We are able to perform 12 lead Electrocardiograms (EKGs or ECGs) in the field and transmit the tracing to the hospital with the utmost accuracy. This enables hospitals to prepare for the arrival of the patient.

Patients who are experiencing a cardiac emergency, such as a heart attack, are taken directly from the ambulance to the Cardiac Catheterization Lab. This expedites patient access to interventions needed to restore circulation to affected areas of the heart.


Training is a key resource offered to many different people. NOCA provides many avenues of training for not only our staff but for the public as well. 


NOCA provides monthly training on Continuing Medical Education (CME) topics. Providers are able to continue their learning; refresh their training on current protocols and equipment; and stay abreast of new changes in the ever-changing field of prehospital medicine. 


NOCA is certified by the American Heart Association as a Basic Life Support (BLS) Training Center. We train instructors and the public in the life saving measures of Cardio Pulmonary Resuscitation (CPR).

NOCA also partners with Samaritan Hospital in Watertown, NY to provide a training site for Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certification.

NOCA serves the Towns of Richland, Sandy Creek, Boylston, Orwell, Albion, Redfield, and Williamstown.


NOCA focuses on rapid response to thousands of homes, businesses, and anywhere someone is in need of emergency medical care and transport.


NOCA’s coverage area includes nearly 400 square miles of very rural geography.  During good weather, transporting patients to area hospitals for can take approximately 45-60 minutes. During bad weather, transport times can increase to 60-90 minutes.

Most often, patients are transported by ground in one of our four ambulances. When needed, patients are transported by helicopter to a specialty hospital such as a trauma center.

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