The fire company serves the township’s 13.5 square miles and 20,000 residents. US Highway 1, a major thoroughfare, runs through the township. Middletown Fire Company is a Participating Department in the Certification Program through the Pennsylvania State Fire Commissioner’s Office. As the designated township rescue company, Middletown Fire Company, in 2013, was the first fire company in Delaware County to earn the Pennsylvania Department of Health’s Voluntary Rescue Service Recognition, which recognizes strict levels of certification, proficiency and emergency response.