Custer Ambulance Service
Committed to providing compassionate, expert emergency care to the Custer, SD region.
Established more than 45 years ago, today’s CAS is intent on being the best emergency medical services provider in the region. Our team is progressive and adaptable, and we aim to be a valued community resource.
EMT / AEMT Spring 2026 Certification Course
Now accepting applications for our Spring 2026 EMT / AEMT combined certification course.
Start Date: February 10, 2026
Application Deadline: February 4, 2026
Tuition:
• EMT – $1,000
• AEMT – $1,200
Payment plans available.
Custer Ambulance by the numbers
860
square miles of service area
3.5
average calls per day
1,100
calls responded to annually
3
ambulances available
4,000
people trained by CAS in CPR and first aid
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What we do
Custer Ambulance Service is a stand-alone emergency services provider in the Custer region. Learn more about the variety of services we provide in our community.
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Training
We are a recognized American Heart Association® Training Center and Health and Safety Institute (HSI) Training Site. We offer monthly training on various topics for employees and partnering agencies.
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Careers
Custer Ambulance Service always has a need for emergency medical technicians (EMTs), advanced emergency medical technicians (AEMTs), and paramedics to serve our community.
Our Service Area
Custer Ambulance Service covers 860 square miles in the Custer region, providing a crucial service to rural areas. Our district’s boundaries extend across most of Custer County, down into Wind Cave National Park, over toward the Wyoming border and up toward Hermosa.
