In December of 2005 an RFP was put out on Prince Edward Island for a provinical EMS system. In January 2006 that RFP was awarded to MEDAVIE EMS and Island EMS was established shortly after. Island EMS went operational in April 2006 as the sole provincial EMS provider for the province of Prince Edward Island and has continued to do so since that time.
Prior to that the EMS system on Prince Edward Island was provided by five private ambulance operators located throughout the province:
Kings County EMS - Montague & Souris
Neils Ambulance - Charlottetown
Royal Ambulance - Summerside
West Prince Ambulance - O'Leary
Rooney's Ambulance - Alberton