Anchorage Middletown Fire and EMS Department is a special taxing district as provided for by Kentucky Revised Statue (KRS) Chapter 75.

Our Paramedics, EMTs, and Firefighters operate from 11 fire stations to provide fire protection, fire prevention, advanced life support EMS response/transport, and rescue services to over 90 square miles of eastern Louisville Metro; including portions of I-71, I-265, I-64, and the Ohio River.