| Business | Phone |
| Elkhorn City Fire Dept 395 S Patty Loveless Dr, Elkhorn City 41522 | (606) 754-8041 |
| Lookout Volunteer Fire Dept 5945 Poor Bottom Rd, Elkhorn City 41522 | (606) 754-8691 |
| Marrowbone Volunteer Fire Dept 195 Marrowbone Creek Rd, Elkhorn City 41522 | (606) 754-5511 |
| Sycamore React Volunteer Fire 197 Elkhorn Creek Rd, Elkhorn City 41522 | (606) 754-4698 |