The original three metal buildings were home to the squad for the next five years. In February, 1957, after much discussion and planning, five bids had been received and a contract was awarded for the construction of a new headquarters. By late fall, the building was completed and the squad had a new home at 408 20th Street. That year, the squad answered 778 calls. During the day squad members answered calls by themselves and after took the ambulance home or to their workplace.

A 1960 article in the Virginia Beach Sun-News listed the professions represented in the rescue squad membership: "Service-station operator, engineer, milkman, banker, chemist, policeman, hotel keeper, restuaraunteur, postman, city official..." and the list went on. That year the squad answered 1,093 calls, its membership consisted of 40 men, and its budget was $20,000.

With the incorporation of the City of Virginia Beach and Princess Anne County in 1963, and the increasing growth of the area, the demand for emergency medical services necessitated the formation of other rescue squads. It was proposed that each new rescue squad operate within fire department districts and in conjunction with each respective fire station. But the membership of the Virginia Beach-Princess Anne Rescue Squad elected to remain independent and free of government control in order to hold to its original charter -- as a totally independent organization operated by volunteers on a 24-hour basis, with no charge for services. In 1963, it also voted to change the name of the squad to Virginia Beach Rescue Squad, Inc. By 1969, the squad was averaging 185 calls per month, with a record-breaking 322 calls during the month of August. 

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