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There are numerous private ambulance companies around the city such as AMR, Americana, Acadian, etc.
SAFD is the city's EMS, however, you would be assigned to the firefighting division upon being hired and serve as a first responder as part of a fire company. After two years of service you have the opportunity to promote to EMS where you will be required to work as an EMT-P. I know some medics have no interest in the firefighting side of things, so I figured I'd let you know. Also, the hiring process can be competitive (3 to 4 thousand applicants) and lengthy (approx. a year). If you are looking for immediate employment upon your move, this may not be your best bet.
There are several other fire/ems departments in the smaller cities in and around SA such as Alamo Heights, Terrell Hills, Balcones Heights, Olmos Park, Castle Hills, Hollywood Park, Converse, Schertz, Live Oak, and Leon Valley. The Toyota Plant even has its own fd/ems. You could check with these places to inquire about their operations and hiring timelines.
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