The Middletown Fire Department is a professional department serving downtown. It has 63 sworn firefighters and four civilian employees. The headquarters is at 533 Main Street; a second station is at 169 Cross Street. The district has three pumper trucks, one ladder truck, a rescue truck, one truck for handling hazardous materials and two marine rescue boats. The department is also the designated first responder to all medical emergencies in the district. It also has a fire marshal.