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Sierra Medical Services Alliance Home About Customer Services EMS Services Membership Employment MedExpress Transport Contact More SERVICES SEMSA owns and operates ALS Ambulances Services as well as providing management services to several rural services. SEMSA has created a new rural EMS model being implemented and refined in various small marketsservices areas. Upon a community or customer39s request SEMSA will operate manage or consult with smaller ambulance services offering a wide array of support services. EDUCATION The International Center for Prehospital Disaster Medicine ICPDM a service of SEMSA Sierra Medical Services Alliance was established to provide education and training experiences to the widest audience possible from the health care professions.