Madison Fire Department has been providing fire protection for the citizens of the Town of Madison since 1909. We proudly protect approximately 2,262 citizens living within 3.29 square miles of the town limits. And approximately 6000 citizens living within 21 square miles of the M & M fire district. We are a combination paid/paid per call department and operate out of one station with six pieces of apparatus. We have an ISO rating of 5 inside the town limits, and a split rating of 7 in the rural district.

Madison Fire Department is a 22 member department proudly protecting the citizens of the town of Madison and the citizens of the M & M fire district with the equal assistance of the Mayodan Fire Department. Both departments regularly provide mutual aid assistance to the surrounding departments in Rockingham and Stokes County, as well as Rockingham County EMS, Madison Rockingham Rescue Squad, Madison Police Department, Rockingham County Sheriffs Department and the North Carolina Highway Patrol.