Milam County Emergency Services District No. 1 operates six MICU level ambulances. These units respond from four stations based in Rockdale, Cameron, Thorndale, and Milano.

Two ambulances are housed in Rockdale at 309 Childress Drive. This facility was originally built in the 1970s for Rockdale Volunteer EMS. When Rockdale Volunteer EMS moved out in the 1990s, the building was donated to Milam County and has since been used to house various contracted emergency medical service providers including Scott and White, AMR, and now Milam County Emergency Services District No. 1. While the County has generously donated this facility to the District, it was never designed to accommodate two full time EMS crews. As a result, the living conditions fall short of current operational standards, and long term facility improvements are under consideration.

Two ambulances are based out of the Cameron Volunteer Fire Department station located at 1501 North Travis Avenue. This arrangement is made possible through a lease agreement with the City of Cameron. The living quarters at this location were originally constructed for the fire chief who once resided at the station. While functional, the layout is not ideal for EMS staffing needs and limits the available space and privacy for on duty crews.

The fifth ambulance is stationed in Thorndale, operating from a new facility provided through a lease agreement between Thorndale Volunteer Fire Department and the District. This site is a single wide mobile home that currently meets the needs of the EMS crew assigned there.

The sixth ambulance is stationed at a District owned facility located in Milano at 308 E Ave E.

These four stations allow the District to cover a large service area with prompt and professional care. While current facilities are sufficient to meet operational demands, the District recognizes that investing in purpose built EMS stations will be critical to improving crew accommodations, ensuring long term sustainability, and continuing to attract and retain high quality personnel.