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NAICS Code· 621910

NAICS 621910: Ambulance Services

This industry comprises establishments primarily engaged in providing transportation of patients by ground or air, along with medical care. These services are often provided during a medical emergency but are not restricted to emergencies. The vehicles are equipped with lifesaving equipment operated by medically trained personnel. Cross-References.Show more

NAICS 621910 – Ambulance Services covers the provision of emergency medical transportation and related pre-hospital care services using specially equipped vehicles, including ground and air ambulance operations. This sector supports critical life-saving functions by transporting patients to medical facilities under urgent conditions, often integrating advanced life support (ALS) and basic life support (BLS) protocols.

20
Active Contracts
$301.2M
Total Obligations (12mo)
1.1K
Awarded Contracts (12mo)
298
Contractors Awarded (12mo)
1
Median Bidders per Award
-43.7%
YoY Growth

Industry Spending Overview

Federal obligations, top contractors and agencies, and related industry codes for NAICS 621910.

AI Industry Description

NAICS 621910 – Ambulance Services covers the provision of emergency medical transportation and related pre-hospital care services using specially equipped vehicles, including ground and air ambulance operations. This sector supports critical life-saving functions by transporting patients to medical ...

NAICS 621910 – Ambulance Services covers the provision of emergency medical transportation and related pre-hospital care services using specially equipped vehicles, including ground and air ambulance operations. This sector supports critical life-saving functions by transporting patients to medical facilities under urgent conditions, often integrating advanced life support (ALS) and basic life support (BLS) protocols. In government contracting, ambulance services are procured to ensure medical readiness for military personnel, veterans, federal employees, and emergency response operations in remote or high-risk environments. These services are frequently integrated into broader healthcare logistics frameworks, including disaster response, tactical medical evacuation, and continuity of care programs under military and civilian health systems. ALTITUDE TECHNOLOGIES INC. is the leading contractor in this NAICS code, providing specialized ambulance and medical transport solutions tailored to federal operational requirements. The company operates as a mid-sized prime contractor with expertise in compliant medical logistics, vehicle modification, and personnel training for federal missions. The competitive landscape is concentrated, with limited primes dominating due to stringent regulatory, accreditation, and equipment standards required for federal contracts. The Department of Defense is the primary agency awarding contracts in this sector, driving demand through military medical readiness programs, base healthcare support, and deployed field medical units. Contracts often support combat support hospitals, aeromedical evacuation chains, and veteran transportation networks, reflecting a mission-critical need for reliable, mobile medical infrastructure. The market is characterized by high barriers to entry due to regulatory compliance, specialized vehicle certification, and personnel credentialing requirements. Opportunities exist for contractors with proven experience in federal medical logistics, ISO and NHTSA-compliant vehicle modifications, and integration with DoD health information systems. Demand remains steady, driven by ongoing modernization of tactical medical transport and expanded veteran healthcare access initiatives.

Top Contractors

Companies with the highest total award value under NAICS 621910, ranked by dollars won.

Ranked by total awards
CompanyTotal AwardsContracts
EXCELSIOR AMBULANCE SERVICE INC$24.2M5
RELIANCE MEDICAL TRANSPORT, LLC$17.7M8
JOURNEY VIA GURNEY, LLC$12.0M6
MEDEX MEDICAL TRANSPORT SERVICE INC$10.4M5
HVM ASSOCIATES LLC$9.6M1
ALERT AMBULANCE SERVICE, INC.$8.4M3
FRONTLINE SUPPORT SOLUTIONS, LLC$7.7M2
EVENT MEDICAL SOLUTIONS UNLIMITED, LLC$7.4M12
MEDSHORE AMBULANCE SERVICE, INC.$5.9M1
ACADIAN AMBULANCE SERVICE OF TEXAS, LLC$5.7M10

Top Agencies

Federal agencies directing the most contract spending toward NAICS 621910.

Department Of Veterans Affairs234 awards$240.5M
Department Of Agriculture664 awards$19.4M
242-NETWORK Contract Office 02 (36C242)1 award$9.6M
Department Of Defense24 awards$8.6M
Department Of Justice145 awards$7.7M
W40M MRC0 West2 awards$7.6M
Department Of Homeland Security2 awards$3.5M
Department Of Health And Human Services10 awards$2.5M
Department Of State5 awards$810K
244-NETWORK Contract Office 4 (36C244)1 award$508K

Competition

How many companies historically bid on federal awards in NAICS 621910, from bidder counts reported on USAspending.

Usually Single-Bid

Half or more of reported awards drew exactly one bidder, usually a sign of incumbent-held work rather than an open field. · 19,349 reported awards

Median Bidders

1

Per reported award, all-time

Single-Bid Awards

77%

Share of reported awards with one bidder

10+ Bidder Awards

3%

Share of reported awards with 10+ bidders

Reported Awards

0

84% of 22,905 total awards

How this code compares up the NAICS hierarchy. Parent cohorts pool every code under their prefix, so they are the steadier baseline when a 6-digit sample is thin.

Industry FamilyCompetitionMedian BiddersSingle-BidBidder MixReported Awards
621910This Code
Ambulance Services
Usually Single-Bid177%
19,34984% of 22,905
62191NAICS Industry
Usually Single-Bid177%
19,34984% of 22,905
6219Industry Group
Other Ambulatory Health Care Services
Usually Single-Bid170%
48,66786% of 56,704
621Subsector
Usually Single-Bid165%
305,28684% of 361,938
62Sector
Health Care and Social Assistance
Usually Single-Bid171%
550,37684% of 657,210

Bidder counts reported on past federal awards in this NAICS (USAspending). An open opportunity has no bidders yet, so this is the historical norm for similar work, not a fact about this solicitation. Not all awards report bidder counts, and fewer bidders often means incumbent-held work rather than an easier win. Federal reporting of bidder counts fell from ~96% of awards (FY2016) to ~30% (FY2018 onward); the chart shows shares of reported awards, and washed-out stretches mark years with fewer than 30 of them.

Related NAICS Codes

Industries similar to Ambulance Services, by shared sector, subsector, and industry group.

Blood and Organ Banks

This U.S. industry comprises establishments primarily engaged in collecting, storing, and distributi...
621991Same Industry GroupHigh Similarity

All Other Miscellaneous Ambulatory Health Care Services

This U.S. industry comprises establishments primarily engaged in providing ambulatory health care se...
621999Same Industry GroupHigh Similarity

Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Docto...
621111Same SubsectorMedium Similarity

Offices of Physicians, Mental Health Specialists

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Docto...
621112Same SubsectorMedium Similarity

Offices of Dentists

This industry comprises establishments of health practitioners having the degree of D.M.D. (Doctor o...
621210Same SubsectorMedium Similarity

Offices of Chiropractors

This industry comprises establishments of health practitioners having the degree of D.C. (Doctor of ...
621310Same SubsectorMedium Similarity

Offices of Optometrists

This industry comprises establishments of health practitioners having the degree of O.D. (Doctor of ...
621320Same SubsectorMedium Similarity

Offices of Mental Health Practitioners (except Physicians)

This industry comprises establishments of independent mental health practitioners (except physicians...
621330Same SubsectorMedium Similarity

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NAICS 621910 FAQ

Frequently Asked Questions

NAICS code 621910 covers Ambulance Services. This industry comprises establishments primarily engaged in providing transportation of patients by ground or air, along with medical care. These services are often provided during a medical emergency but are not restricted to emergencies. The vehicles are equipped with lifesaving equipment operated by medically trained personnel. Cross-References.

Recently Posted in Ambulance Services

NAICS: 621910
New
SLED
EMERGENCY MEDICAL AMBULANCES
Solicitation # PE-70200-NONST-2026-000000024
The Monroe County Board of Commissioners Emergency Services is seeking sealed bids for the procurement of Emergency Medical Ambulances. Interested vendors must submit their bid packets by Friday, October 2, 2026, at 10:00 a.m. Submissions can be mailed to the PO Box or hand-delivered to the Senior Purchasing Agent in Forsyth, Georgia, though faxed bids are strictly prohibited. To avoid disqualification, bidders must complete the provided bid worksheet by answering all questions with a yes or no. The selected vendor will be responsible for furnishing all ambulances according to the specified scope of work and must provide certificates of insurance for General Liability and Worker's Compensation. The county maintains the right to reject any or all bids submitted for this solicitation.
Monroe County Board of Commissioners

POSTED

3 days ago

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in 29 days
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NAICS: 621910
Awarded
Federal
V119--Altoona WC Van Transport
Solicitation # 36C24426D0118
The Department of Veterans Affairs, through the Network Contract Office 4, has issued an award notice for the Altoona WC Van Transport project under solicitation number 36C24426D0118. This contract is designated as a total small business set-aside and falls under NAICS code 621910, which covers other professional and technical services. The administrative office for this contract is located in Pittsburgh, Pennsylvania. Cynthia Laemmerhirt serves as the primary point of contact and Contract Specialist for this engagement. The official notice was posted on August 31, 2026.
244-NETWORK Contract Office 4 (36C244)

POSTED

3 days ago

DEADLINE

N/A
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NAICS: 621910
New
SLED
Emergency Medical Services (EMS) and Ambulance Billing
Solicitation # 653
The City of Fort Lauderdale, Florida, is soliciting proposals from qualified, experienced, and licensed firms to provide comprehensive emergency medical services and ambulance billing services. This solicitation, identified as number 653, requires vendors to submit their responses by October 6, 2026. The procurement process is managed by primary point of contact Kirk McDonald and secondary contact Alexandra Rampy. The contract is governed by the City of Fort Lauderdale General Conditions, which establish standard requirements for procurement, including payment terms, bid firmness, and guidelines for minority, women, and small business participation. All submissions must adhere to the specified proposal page requirements and delivery instructions, with the final agreement subject to any modifications provided in the specific solicitation documents or legal advertisements.
City of Fort Lauderdale

POSTED

6 days ago

DEADLINE

in about 1 month
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NAICS: 621910
New
SLED
RFP 26-FD02R, Medical Direction Services Fire-Rescue-REISSUANCE
Solicitation # 26-FD02R
The City of Milton is seeking proposals from qualified medical professionals to provide medical direction and oversight for the Milton Fire Department's Emergency Medical Service. The selected Medical Director must be a board-certified, Georgia-licensed Emergency Physician or associate physician capable of providing 24/7 availability with a response time of fifteen minutes via radio or telephone. The city intends to establish a five-year agreement that is subject to annual renewal, ensuring all services comply with local, state, and federal regulations. Interested parties must submit their proposals online through the City's procurement portal by the deadline of September 17, 2026. The City of Milton reserves the right to reject any proposals and will make the final award based on the best interests of the city. All qualified candidates will be considered regardless of race, gender, religion, or other protected characteristics.
The City of Milton

POSTED

7 days ago

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in 14 days
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NAICS: 621910
Federal
Ground Ambulance & Critical Care Transport
NASA Johnson Space Center

POSTED

7 days ago

DEADLINE

in 12 days
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NAICS: 621910
Federal
Emergency Medical Support and Evacuation (MedEvac) Services
Solicitation # 80JSC026MEDEVAC5Q
NASA Johnson Space Center is soliciting proposals for Emergency Medical Support and Evacuation (MedEvac) services under solicitation 80JSC026MEDEVAC5Q. This firm-fixed-price contract aims to secure a provider capable of delivering worldwide air ambulance medical evacuation services, including the provision of certified medical personnel, equipment, and transportation to a NASA-selected hospital. The scope includes group and independent traveler memberships, the potential use of Portable Medical Isolation Units for infectious diseases, and the coordination of Guarantee of Payment services to ensure timely patient discharge. The overall period of performance runs from October 1, 2026, through September 30, 2031, consisting of a three-year base period and two one-year options. The government intends to make a single award on an all-or-none basis, requiring offerors to respond to all items to be considered responsible. Evaluation will be based on technical capability and price, which are of approximately equal importance. Technical requirements include adherence to 14 CFR Part 21 aviation standards, US/European board-certified medical care, and accreditation from organizations such as CAMTS, NAAMTA Global, or EURAMI. Additionally, contractors must provide specific action plans for frequently visited locations, including Russia, Kazakhstan, the Netherlands, Canada, and Japan. Proposals are due by September 15, 2026, and must be submitted electronically in Word, Excel, or PDF formats.
NASA Johnson Space Center

POSTED

7 days ago

DEADLINE

in 12 days
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NAICS: 621910
SLED
Medical Director Services
Solicitation # 2026-026
The City of Coral Gables, Florida, is soliciting proposals for Medical Director Services under RFP 2026-026. The selected independent contractor will be responsible for providing medical oversight and ensuring the medical performance of paramedics and Emergency Medical Technicians within the Coral Gables Fire Department. All services must be delivered in strict accordance with federal laws, executive orders, FEMA policies, and applicable state and local regulations. Interested parties must submit their responses by the deadline of September 29, 2026, at 6:00 PM. The primary point of contact for this solicitation is Eduardo Hernandez, and the procurement process is being managed through the city's local government agency framework.
City of Coral Gables

POSTED

7 days ago

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in 26 days
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NAICS: 621910
SLED
Specialized Medical Transport (Medivan and Medivac)This subcontract opportunity is for the provision of specialized medical transport services, specifically stretcher-equipped medical vans known as Medivans and air ambulance services known as Medivacs. The services are intended for non-ambulatory beneficiaries who require medical supervision during transit, with all coordination managed through a Non-Emergency Medical Transportation broker. The contract is issued by the agency in Lansing, Michigan, under NAICS code 621910. Interested parties must submit their responses by the deadline of October 30, 2026, following the posting date of August 27, 2026.
Lansing

POSTED

7 days ago

DEADLINE

in about 2 months
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NAICS: 621910
Federal
V225--El Paso, TX Air Ambulance Transportation Services
Solicitation # 36C25727R0006
The Department of Veterans Affairs, Network Contracting Office 17, is conducting market research through a Sources Sought Notice for air ambulance transportation services to support the El Paso VA Health Care System. This is not a formal solicitation for proposals but a request for information to help the agency define its procurement strategy, including potential set-asides or sole source designations. The agency is specifically interested in identifying available Service-Disabled Veteran Owned Small Businesses capable of providing these services. Interested contractors must submit their responses by 3:00 PM Central Time on September 3, 2026. Submissions should include a detailed business profile, SAM registration status, NAICS code, and business size. While not mandatory, vendors are encouraged to provide capability statements and estimated market research pricing, such as base rates and per-mile costs. Responses must be sent to both the Contract Specialist and the Contracting Officer with the specific reference number 36C25727R0006 in the subject line.
257-NETWORK Contract Office 17 (36C257)

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NAICS: 621910
Federal
Ambulance Services - FCC Pollock, Louisiana
Solicitation # 15BGCS26Q51900005
The Federal Bureau of Prisons, Field Acquisition Office, is soliciting quotes for solicitation 15BGCS26Q51900005 to provide scheduled and emergency ambulance transportation services, including Advanced Life Support and Basic Life Support, for the Federal Correctional Complex (FCC) Pollock in Louisiana. This is an unrestricted procurement under NAICS code 621910. The government intends to award a single indefinite delivery/requirements contract with firm-fixed unit pricing. The period of performance consists of a base year starting October 1, 2026, with four subsequent 12-month option years, totaling a potential five-year term. Award will be based on the best value, considering total aggregate pricing for the base and all option years as well as past performance history. The current incumbent for these services is Lakeside Mobile Services LLC. Interested parties must be registered in the System for Award Management (SAM) and include their Unique Entity Identifier (UEI) in their submission. Quotations must be submitted in PDF format via email to Justin Wray by September 16, 2026. Required submission documents include a completed Standard Form 1449, a priced schedule of items, and a Business Management Questionnaire detailing three related past contracts. Awardees must comply with E-Verify requirements, maintain medical malpractice insurance, and ensure personnel undergo required security clearances and annual cybersecurity training to access the facility.
Fao

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NAICS: 621910
SLED
RFI - Specialty and Emergency Medical Services for Youth in Custody with Harris County Juvenile Probation Department (HCJPD)
Solicitation # 071626BNM
Harris County is issuing a Request for Information under solicitation number 071626BNM to identify qualified hospital entities and specialty medical providers. The objective is to secure comprehensive healthcare services for youth in custody under the Harris County Juvenile Probation Department, encompassing emergency, inpatient, outpatient hospital-based, and specialty medical care. Interested parties must submit their responses by the deadline of September 25, 2026. The primary point of contact for this solicitation is Brianne Maxwell, and further details regarding the submission process can be accessed through the Harris County Bonfire hub.
Harris County

POSTED

10 days ago

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in 22 days
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NAICS: 621910
Federal
Basic Life Support (BLS) Ambulance Transport ServicesThe Department of Justice is seeking a subcontractor to provide non-emergency and scheduled Basic Life Support ambulance transportation services. The scope of work involves transporting inmates for medical trips, dialysis, and various outpatient appointments that require a BLS level of care. This opportunity is categorized under NAICS code 621910 and will be performed in Pollock, Louisiana. Interested parties must submit their responses by September 16, 2026, following the posting date of August 19, 2026.
Fao

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