The Westville Fire Department delivers pre-hospital emergency medical care via a two-tiered system. Basic life support service is provided by the members of the Westville Fire Department assigned to BLS Unit 739 who are all NJ certified Emergency Medical Technicians. Should the ambulance be out on other calls, emergency medical care is provided by certified Firefighter/EMT's assigned to either the Engine, Ladder, or Rescue Company. All department fire apparatus are BLS equipped with Semi automatic external defibrillators (SAED).

Since 1977, Advanced Life Support (ALS), the second tier of the two-tiered system, have been provided by Paramedics from Underwood Memorial Hospitals Mobile Intensive Care Unit. The paramedics work in conjunction with Fire Department personnel to deliver the highest level of pre-hospital care available to the citizens of Westville and surrounding communities.