The mission of the Fire/EMS department is to provide the best quality service possible and ensure the health and safety of tribal members and the community at-large.  The Quapaw Nation maintains three fully equipped stations, located at: Miami, Wyandotte and the Downstream Casino and Resort.

The Quapaw Nation Fire & EMS currently operates 3 stations within Ottawa County. The main station, Station 1, is located on Highway 69a East of Commerce Oklahoma. Station 2, is located at Downstream Casino and Resort located at Mile Marker 1 just off Interstate 44 at the Oklahoma/Missouri State line. Both of these stations operate 24 hours a day 365 days a year, there is a four-person staff at station 1 with two Emergency Medical Technician (EMT)-Basics and two Paramedics on duty at all times. Two Advanced Life Support (ALS) ambulances, a 1,500-gallon-per-minute pumper and water support trucks are housed at Station 1.  Station 2 houses one ALS ambulance staffed 24 hours a day 365 days a year.. The third station, Station 3 is located in Wyandotte, OK. This station houses Two ALS ambulance staffed 24 hours a day 365 days a year.

The Quapaw Nation Fire & EMS not only covers the DSCR casino but also has automatic aid agreements in place with the Town of Commerce, the Town of Quapaw, the Town of Peoria, the Town of Miami and the Town of Wyandotte. This is in place to protect the residents of the rural areas of the Northeastern Ottawa County.