The following ambulance and first responder organizations utilize the dispatch services of the Wilson County Emergency Communications Center:
- Bakertown Fire First Responders
- Black Creek Fire First Responders
- Contentnea Fire First Responders
- Crossroads Fire First Responders
- East Nash Fire First Responders
- Elm City Emergency Service
- Moyton Fire First Responders
- Rock Ridge Fire First Responders
- Sanoca Fire First Responders
- Silver Lake Fire First Responders
- Sims Fire First Responders
- Stantonsburg Emergency Service
- Wilson County EMS
- Wilson Fire/Rescue Department
- Wilson Rescue Squad