Hospitals, fire, EMS, and police in one place.

Rockland's largest acute-care hospital and a Montefiore Health System member, anchoring Nyack since 1895. Full 24/7 emergency department, surgical services, maternity, and a wide range of specialty care for the lower Hudson Valley.

A 286-bed acute-care hospital in Suffern and member of the Westchester Medical Center Health Network (WMCHealth). Emergency, cardiac, stroke, and maternity care anchoring western Rockland and northern Bergen County.

A New York State-operated physical-rehabilitation hospital perched above the Hudson in West Haverstraw. One of the country's first specialty rehab facilities, with inpatient and outpatient programs for stroke, spinal-cord, brain-injury, and orthopedic recovery.

A New York State Office of Mental Health adult psychiatric hospital on a large Orangeburg campus. Inpatient treatment and recovery-oriented outpatient services for adults across the Hudson Valley.

A separate New York State psychiatric hospital on the Orangeburg campus serving children and adolescents. Inpatient and day-treatment programs alongside community-based mental-health services.

The CityMD walk-in urgent care on the Route 59 retail strip in Nanuet. Treats everyday illness and injury seven days a week with on-site X-ray and lab work — no appointment needed.

The volunteer fire department serving Blauvelt from its Western Highway firehouse.

The volunteer fire department serving Central Nyack from the Waldron Avenue station.

The volunteer fire department serving Congers and the surrounding Lake DeForest area.

The village fire department made up of Haverstraw's volunteer fire companies.

The volunteer fire department serving the Village of Hillburn.

The volunteer fire department serving the Hillcrest and Mount Ivy area.

The volunteer fire department serving Monsey, operated by Brewer Fire Engine Company No. 1.

The volunteer fire department serving Nanuet and its surrounding fire district.

The volunteer fire department serving New City and surrounding Clarkstown neighborhoods.

The volunteer fire department serving Nyack and nearby river communities through several member companies.

The volunteer fire department serving Orangeburg and nearby Orangetown neighborhoods.

The volunteer department formed by Pearl River's engine and hook-and-ladder companies.

The volunteer fire department serving the Village of Piermont along the Hudson River.

The volunteer fire department serving Rockland Lake and nearby parts of Valley Cottage.

The volunteer fire department serving Sloatsburg and the northern Route 17 corridor.

The volunteer department serving Sparkill, Palisades, and neighboring Orangetown communities.

The village fire department made up of Spring Valley's volunteer fire companies.

The volunteer fire department serving Stony Point and nearby northern Rockland communities.

The village fire department formed by Suffern's volunteer hose and hook-and-ladder companies.

The volunteer fire department serving Tallman and nearby Ramapo communities.

The volunteer fire department serving Tappan through the Volunteer Fire Association of Tappan.

The volunteer fire department serving Valley Cottage and neighboring Clarkstown communities.

The village fire department made up of West Haverstraw's volunteer fire companies.

The volunteer fire department serving West Nyack and surrounding Clarkstown neighborhoods.

The volunteer fire department serving the South Spring Valley fire district.

The volunteer fire department serving Thiells and the surrounding Thiells-Roseville fire district.

The volunteer ambulance corps serving Congers and Valley Cottage.

A volunteer EMS agency serving Rockland County, based in Monsey.

The volunteer ambulance corps serving Haverstraw and surrounding North Rockland communities.

The volunteer ambulance corps serving Nanuet and nearby Clarkstown communities.

The volunteer ambulance and rescue corps serving New City and surrounding Clarkstown neighborhoods.

The municipal volunteer EMS agency serving the Village of New Square.

The volunteer ambulance corps serving Nyack and nearby river communities.

The volunteer ambulance corps serving Pearl River and surrounding Orangetown communities.

The volunteer EMS unit operated by the Piermont Fire Department for the river village.

The volunteer ambulance corps serving western Ramapo communities from Route 59 in Suffern.

The volunteer ambulance corps serving southern Orangetown communities.

The volunteer ambulance corps serving Spring Valley and surrounding Ramapo neighborhoods.

The volunteer ambulance corps serving Stony Point and Tomkins Cove.

The volunteer ambulance corps serving Chestnut Ridge and surrounding Ramapo communities.

Rockland County's chief law-enforcement agency, headquartered in New City. Runs the Police Division, Corrections (county jail), Civil Division, and Marine and Aviation units serving all five towns and 19 villages.

The town police department for Clarkstown, Rockland's most populous town, covering New City, Nanuet, Bardonia, Congers, Valley Cottage, West Nyack, and part of Nyack from headquarters on Maple Avenue. Roughly 85,000 residents.

The town police department for Orangetown, covering Orangeburg, Tappan, Palisades, Blauvelt, Pearl River, Sparkill, and the former Village of South Nyack (dissolved 2022). Also provides police services to the Village of Nyack since 1991.

The town police department for Ramapo, covering unincorporated areas including Hillcrest, Monsey, Tallman, Airmont, and Pomona plus several contracted villages. Headquartered on Route 59 near Suffern.

The town police department for Stony Point, covering the hamlets of Stony Point, Tomkins Cove, and Grassy Point at the northern end of the county. Patrols Route 9W, Bear Mountain access roads, and the Hudson riverfront.

The town police department for Haverstraw, covering Garnerville, Thiells, West Haverstraw, and the Village of Haverstraw (whose own department was abolished by referendum in 2005). Headquartered on Rosman Road.

The village police department for Suffern, located in the Suffern Municipal Building. Serves the village's downtown, train station, and the Route 59 / I-287 corridor at Rockland's southwestern gateway.

The village police department for Spring Valley, Rockland's largest village by population. Patrols the densely populated village center along Main Street and Route 59 within the Town of Ramapo.

The village police department for Piermont, the small Hudson River village known for its pier, restaurants, and arts scene. Located on Piermont Avenue within the Town of Orangetown.

The New York State Police barracks serving Rockland County, part of Troop F, Zone 2. Despite the 'Haverstraw' name, the station is physically in Pomona and patrols state highways including the Thruway, I-287, and the Palisades Interstate Parkway.

A bi-state agency of the Palisades Interstate Park Commission patrolling the Palisades Interstate Parkway and adjacent state parks. The NY section operates from Pomona; the bi-state headquarters is in Alpine, NJ.