Box Areas in the MWCOG (Metropolitan Washington Conucil of Governments) region (aka NCR) were historically four digits where the first two were station and the second two were the box number. I.e. 0404 meant station 4's box #4. This is announced as "Box Four-oh-four" or "Box area zero four zero four". These are what make up the "run cards" for a call. In the old days, a dispatcher would have to find the box card (yes it was an actual index card type of system) for the address of the call. On a typical EMS call you may only get a single ambulance but something like a structure fire gets a multi-unit response and the run card dictates what units and in what order. This is why even though the system is digital, the term "run card" is used. This is typically determined by a calcualted drive time, and software like Deccan BARB (Box Area Response Builder) use more complex ways to determine what order that is, such as factoring in actual response times from previous calls. This is how you get the terms "first due" and "second due". Station 04 would be "first due" to box 0404 assuming they were in service. The second two numbers are usually just assigned by whoever draws the map so there's rarely a significance to the second two. I know some departments wanted to do things like assign Box "00" to the station itself since some places don't assign a unit first due to a fire at it's own station (assumption is trucks are unavailable) but not aware of any like that actually happening.
With the advances in computers and networking, in the NCR there have been some big changes in recent years.
- First, the NCR units changed unit numbers to have what is a "COG" number. This was the unit that proceeds all unit numbers for the jurisdiction so responders know where a unit belongs without having to announce jurisdiction. So instead of having to say "Fairfax Engine 1" and "Alexandria Medic 2" you can now say Engine 404, Medic 202, and know what cities/counties and stations the units came from. DC is the exception to this rule - they are technically "0" but it's more they just don't use COG numbers. In the rare instances DCFD responds outside of the district, some dispatchers (typically uniformed personnel) will just say "Truck 20" as opposed to "DC Truck 20" but there's no consistency there.
- In the NCR, there is a CAD2CAD network where the CAD systems for the individual jurisdictions continuously send unit status and location to a centralized location for distribution to all member CAD systems. This combined with automated vehicle locaiton (AVL) technologies means the NCR has moved from "static" run assignments to many of the jurisidictions opting for "closest available unit" based on the most recent reported location of a unit. This combined with MDTs has sort of rendered announcing box areas useless for most things other than annouincing whose "first due" units are responding to. While most FF/EMTs will know the general location of a first due, such as the area that station 4 would cover, it's rare to find guys who know what the actual box area covers, however some stations use those individual boxes for their map books. DC again an exception to this - that's how you got stories of Arlington and Alexandria driving through DC past fire houses to respond to calls in Prince George's County.
- With the two above changes, jurisdictions (especially Northern Virginia ones) are now attaching the COG number in the front of the box area. I bring that up to mention most of what you will hear on Fairfax 4A Dispatch will start with "4" since that's Fairfax's COG number. So the automated voice will now say "Box Area Four Oh Four Oh Four" So now you know it's in Fairfax, Station 4's First Due, Box Area #4. If Fairfax goes to Loudoun or Prince William as they do frequently now with CAD2CAD, you will hear the box area start with the COG number so the dispatcher (or Computer) doesn't have to say "Loudoun Box Area 06 06", rather "Box six oh six oh six".
Fairfax (and other COG jurisdictions) also have some special box areas if you know what to listen for. The first obvious one is the Federal Fire Departments, for example Fort Belvoir. Their station and unit numbers are in the 60's so box areas like 4
6301 is on Fort Belvoir base. Not sure if it's still common practice, but the highways used to be their own as well. For example, calls on I-66 or I-95 would start with 66 or 95 respectively. So in that example box area 49501 would be a response to I-95 box 1, in Fairfax county.
Very good COG reference material
here on the RR wiki.