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Emergencies in St. John's

What should you know about healthcare and emergencies in St. John's?

Emergency number

911

Updated July 2026 · Sources cited: globalcitizensolutions.com, expatfocus.com

Good to Know

  • 911 and 999 both work as the all-purpose emergency number for police, fire, and ambulance anywhere in Antigua and Barbuda, including St. John's — no separate numbers per service are needed in a real emergency.
  • Mount St. John's Medical Centre in St. John's is the main public hospital where ambulance emergencies are typically taken; serious cases sometimes require medical evacuation off-island, so travel insurance with evacuation coverage is strongly recommended.
  • Save the National Office of Disaster Services (NODS) emergency alert app before hurricane season (June–November) since storm warnings are pushed through it.
  • If calling from a mobile phone abroad, dialing 911 or 999 works the same as on a local line.
  • For any life-threatening emergency, dial 911 (or 999) island-wide; ambulance can also be reached directly.
  • Sir Lester Bird Medical Centre (the renamed Mount St. John's Medical Centre) is the only facility equipped for major trauma, surgery, and critical/inpatient care — go straight there (or have EMS take you there) for serious injuries, not a private clinic.
  • Adelin Medical Centre and other private clinics are a good option for non-life-threatening urgent care with shorter wait times, but they will refer serious trauma cases on to the public hospital.
  • The main public hospital changed its name from Mount St. John's Medical Centre (MSJMC) to Sir Lester Bird Medical Centre — many maps, directories, and locals still use the old name interchangeably, so don't be confused if you see both.

Emergency Numbers

Fire

Emergency Number
911 / 999
Non Emergency Station Number
+1 (268) 462-0044
Notes
St. John's fire station direct line for non-urgent contact.

Police

Emergency Number
911 / 999
Non Emergency HQ Number
+1 (268) 462-0125
Notes
Police HQ for St. John's; the Royal Police Force of Antigua and Barbuda also lists a tip/report line at +1 (268) 462-3913/14 for non-urgent information.

Ambulance EMS

Emergency Number
911
Direct Dispatch Number
+1 (268) 462-0251
Operator
Antigua and Barbuda Emergency Medical Services (ABEMS)
Notes
ABEMS provides pre-hospital care and transport, typically to Mount St. John's Medical Centre, the main public hospital in St. John's.

Disaster Management

Number
+1 (268) 462-4206
Agency
National Office of Disaster Services (NODS)
Notes
Coordinates hurricane and disaster response and issues public alerts.

US Citizen Specific

Program
Smart Traveler Enrollment Program (STEP)
Notes
U.S. citizens can enroll to receive embassy alerts and make it easier for the U.S. Embassy to reach them in an emergency; embassy coverage is via the U.S. Embassy in Bridgetown, Barbados.

Official Safety Apps

  • Antigua and Barbuda Emergency Warning System (CAP)
    Purpose
    Common Alerting Protocol app that pushes official government emergency and hurricane alerts.
    Operator
    National Office of Disaster Services
    Platforms
    Android and iPhone

Coast Guard Marine Rescue

Number
+1 (268) 462-0671
Alt Search And Rescue Number
+1 (268) 562-1234
Notes
Relevant for marine emergencies; also reachable via VHF Channel 16.

Mental Health Crisis Line

Number
462-0864
Notes
Dedicated mental health emergency contact line.

Alternate Emergency Number

Number
999
Description
Secondary universal emergency number that also reaches police, fire, and ambulance dispatch, used interchangeably with 911.

Universal Emergency Number

Number
911
Description
Primary nationwide emergency number for police, fire, and ambulance in Antigua and Barbuda, including St. John's. Operators answer in English.

Hospitals

  • Public — National Referral Hospital
    Phone
    +1 (268) 484-2700 / +1 (268) 462-0251
    Name
    Sir Lester Bird Medical Centre (formerly Mount St. John's Medical Centre / MSJMC)
    Hours
    24 hours a day, 7 days a week (Emergency Department)
    Address
    Michael's Mount, St. John's, Antigua & Barbuda, W.I.
    Trauma Designation
    No formal US-style 'Level I/II/III' trauma designation exists in Antigua & Barbuda. Locally, it is described as the country's main tertiary referral hospital and the designated centre for serious trauma.
    Notes
    This is the country's largest and most comprehensive hospital, a 185-bed teaching facility that opened in its current form in 2009 and holds Caribbean Medical Council Association (CAMC) accreditation.
  • Adelin Medical Centre
    Phone
    +1 (268) 462-0866
    Type
    Private multi-specialty hospital
    Hours
    24 hours a day
    Address
    Fort Road, St. John's, Antigua
    Trauma Designation
    Not a designated trauma centre. Functions as a 24-hour private hospital/urgent care with obstetrics, ENT, ophthalmology, paediatrics, orthopaedics and general emergency treatment; major trauma or complex critical cases are typically stabilized and then referred/transferred to Sir Lester Bird Medical Centre.
    Notes
    Popular with residents and visitors for faster, more personalized private care outside of true major-trauma situations.

Healthcare

Insurance Note
Public healthcare offers basic services; expats and visitors typically opt for private health insurance or international coverage for broader treatments and faster service

Elderly Care

Beds
100
Name
Fiennes Institute
Staff
Over 20 nurses
Wards
6
Contact
+1 (268) 562 9420
Location
Queen Elizabeth Highway, St. John's

Primary Facility

Beds
185
Name
Sir Lester Bird Medical Centre
Location
St. John's
Services
Inpatient and outpatient care, emergency services, diagnostic imaging, cardiology, urology, ophthalmology, intensive care, maternity, pathology, radiology, surgery, neonatal care, dialysis, nephrology, oncology, reconstructive surgery, physiotherapy
Formerly Known As
Mount St. John's Medical Centre
Description
Premier healthcare institution and nation's main referral hospital with state-of-the-art facilities

Private Hospitals

  • Adelin Medical Center
    Hours
    24 hours daily
    Contact
    +1 (268) 462 0866
    Location
    Fort Road, St. John's
    Services
    General medicine, ENT, ophthalmology, obstetrics, gynecology, pediatrics, endoscopic surgery, orthopedics, dentistry, X-rays, physiotherapy
  • Belmont Clinic
    Type
    Privately-owned outpatient facility
    Location
    St. John's
    Services
    General practice, pediatric care, minor surgical procedures

Pharmacies

Standard Hours
9 AM–5 PM, Monday–Saturday
Pharmacy Distribution
Concentrated in St. John's; also present in Nelson's Dockyard, Cedar Grove, and Jolly Harbour
Prescription Requirements
Common medications available over-the-counter; prescription medications require licensed physician prescription

Key Pharmacies

  • Ceco Pharmacy
    Hours
    24 hours, 7 days a week
    Location
    High Street, St. John's
    Services
    Full prescription drug services
AI-generated estimateData refreshed July 2026

These are the sources cited in this emergencies research for this city. Individual figures may not each trace to one of them.

  1. 1.globalcitizensolutions.com
  2. 2.expatfocus.com
  3. 3.whyantigua.com
  4. 4.msjmc.org
  5. 5.bestexchangerates.com

Data last updated July 2026 · Verify anything important.