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NAICS Code· 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.

19
Active Contracts
$415.8M
Total Obligations (12mo)
1.2K
Awarded Contracts (12mo)
292
Contractors Awarded (12mo)
-37.4%
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
MILE HIGH AMBULANCE, LLC$44.0M1
JAN-CARE AMBULANCE OF RALEIGH COUNTY, INC. Beckley WV 25801 USA$26.9M1
RELIANCE MEDICAL TRANSPORT, LLC$24.2M9
EXCELSIOR AMBULANCE SERVICE INC$22.5M6
HEARTLAND AMBULANCE SERVICE LLC MUNCIE 47303$18.5M1
JOURNEY VIA GURNEY, LLC$14.5M7
MEDEX MEDICAL TRANSPORT SERVICE INC$9.1M6
ALERT AMBULANCE SERVICE, INC.$8.4M3
FRONTLINE SUPPORT SOLUTIONS, LLC$7.7M2
EVENT MEDICAL SOLUTIONS UNLIMITED, LLC$7.7M14

Top Agencies

Federal agencies directing the most contract spending toward NAICS 621910.

Department Of Veterans Affairs233 awards$242.7M
Network Contract Office 19 (36C259)1 award$44.0M
Department Of Agriculture755 awards$27.5M
245-NETWORK Contract Office 5 (36C245)1 award$26.9M
250-NETWORK Contract Office 10 (36C250)2 awards$18.8M
W40M MRC0 West2 awards$7.6M
Department Of Justice141 awards$7.3M
Department Of Defense23 awards$7.2M
Network Contract Office 23 (36C263)1 award$6.9M
255-NETWORK Contract Office 15 (36C255)1 award$6.7M

Related NAICS Codes

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

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621999Same Industry GroupHigh Similarity

Offices of Physicians (except Mental Health Specialists)

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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

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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
Awarded
DIBBS
EMS LEASE & SERVICE FIXED RATE (CON&OCONTRIDENT E&P, LLC, operating under CAGE code 3GM64, has been awarded a delivery order under the IDIQ contract SP700022D0002 with a total price of $4,864.00, effective July 17, 2026, through the Defense Logistics Agency. The order pertains to EMS Lease & Service at a fixed rate for equipment identified by NSN/part W074N0D0R0717, with pricing structured under a firm fixed price model. This delivery order falls within the broader IDIQ framework originally established on November 18, 2021, and valid through August 11, 2026, covering the 50 U.S. states, Washington D.C., Guam, and Puerto Rico. The contract’s scope involves leasing multi-functional office devices and associated services, with mandatory testing and approval conducted at DLA Document Services in New Cumberland, Pennsylvania, prior to deployment. Delivery is specified as FOB destination, with the contractor responsible for all shipping costs and packaging sufficient to ensure safe transit, though no specific packaging, preservation, or marking standards beyond SF-1449 administrative requirements are detailed. The contract incorporates FAR 52.212-1, 52.212-3, 52.212-4, 52.212-5, and DFARS 252.232-7010, with additional clauses likely contained in the unreferenced Attachment 1 – Clauses.pdf. Payment will be processed by the Defense Finance and Accounting Service at P.O. Box 182317, Columbus, OH 43218-2317, with invoicing directed to this address unless otherwise specified. Contract administration is managed by Contracting Officer Marissa Jackson and Contracting Officer’s Representative Brian Sklute, with administrative support from Arina Zaitseva. TRIDENT E&P, LLC is certified as a small business with socioeconomic designations including HUBZone, Service-Disabled Veteran-Owned Small Business, and Women-Owned Small Business Eligible, under NAICS code 621910. The contract’s pricing structure is set by task order under the IDIQ ceiling of $702,153,470, with a guaranteed minimum of $100,000, though
Defense Logistics Agency

POSTED

3 days ago

DEADLINE

N/A
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NAICS: 621910
New
SLED
RFP 26-FD02, Medical Direction Services Fire-RescueThe City of Milton is soliciting proposals for a five-year contract to secure full-time medical direction and oversight for its Fire Department’s Emergency Medical Service, ensuring continuous, high-quality care for residents and visitors. The selected provider must be a board-certified Georgia-licensed Emergency Physician, or an associate physician available on call around the clock, seven days a week, and reachable via radio or telephone within fifteen minutes of notification to address medical emergencies and operational needs. All services must comply with local, state, and federal regulations, and professionals must adhere to all requirements outlined in the RFP. The agreement is structured for annual renewal, and the City expects a long-term, reliable partnership to support emergency medical operations. Proposals must be submitted online through the City’s procurement portal by the deadline of August 5, 2026, and will be evaluated without discrimination based on age, disability, religion, creed, political affiliation, race, color, sex, or national origin. The City reserves the right to reject any or all submissions and to waive minor irregularities if doing so serves its best interests. For questions or further information, inquiries should be directed to Honor Motes at the provided contact details. The solicitation number is PE-66097-NONST-2026-000000074, and all relevant documents are accessible through the official procurement portal.
The City of Milton

POSTED

4 days ago

DEADLINE

in 16 days
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NAICS: 621910
New
Federal
V225--New: 3-Year Indefinite Quantity Contract: 9/1/2026 through 8/31/2029. Non-Emergency Ambulance Transport Services at the Edward Hines Jr VA Hospital in Hines, IL, and its affiliated clinics.The Department of Veterans Affairs is conducting market research under solicitation number 36C25226Q0492 to assess industry capability for providing non-emergency ambulance transportation services at the Edward Hines Jr VA Hospital in Hines, Illinois, and its affiliated outpatient clinics across Illinois, Indiana, and Wisconsin. This is a sources sought notice, not a formal solicitation, and no contract has been awarded; the intent is to gather information on vendor capacity, experience, and service offerings prior to issuing a future indefinite-delivery, indefinite-quantity contract expected to span three years from September 1, 2026, through August 31, 2029. Respondents are requested to provide organizational details including name, address, contact information, size and ownership type, and a tailored capability statement that includes fleet size and evidence of operational readiness to deliver Basic Life Support, Advanced Life Support, and Critical Care Transport services. The government is seeking information on vendor ability to handle approximately 5,400 BLS trips, 200 ALS trips, and 50 CCT trips annually, along with associated mileage beyond a 25-mile radius and incremental waiting time beyond a 30-minute window. Subcontracting limitations may apply if the contract is set aside for small businesses or veteran-owned small businesses, requiring compliance with 13 CFR §125.6 to ensure the prime contractor performs at least 50% of the work. Responses must be submitted via email to Scott Sands, Contract Specialist, by 3:00 PM Central Time on June 1, 2026; submissions are voluntary, with no reimbursement for costs incurred, and no feedback will be provided to participants. The procuring office is the 252-NETWORK Contract Office 12 located in Milwaukee, Wisconsin, operating under NAICS code 621910 for ambulance services.
252-NETWORK Contract Office 12 (36C252)

POSTED

4 days ago

DEADLINE

in 28 days
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NAICS: 621910
New
Federal
V225--Wilmington VAMC ALS/BLS Ambulance & Wheelchair Van Transport for Kent & Sussex Counties, DelawareThe U.S. Department of Veterans Affairs is conducting market research through a sources sought notice to assess the availability of qualified businesses capable of providing 24/7 non-emergency ambulance and wheelchair van transportation services for the Wilmington VA Medical Center and its associated outpatient clinics in Kent and Sussex Counties, Delaware. The goal is to determine if there is sufficient interest and capability among Service-Disabled Veteran-Owned Small Businesses, Veteran-Owned Small Businesses, small or emerging businesses, and large businesses to justify setting aside a five-year Indefinite-Delivery/Indefinite-Quantity contract. The required services include Basic Life Support, Advanced Life Support, Critical Care Transport, Specialty Care Transport, and Wheelchair Van transport, with full responsibility for vehicles, personnel, equipment, management, and reporting. Firms interested in responding must submit a capabilities statement, their SAM UEI number, business address, socio-economic status including verification of VAAR 852.219-75 eligibility if applicable, confirmation of ability to serve all required locations, a detailed plan to meet all transport requirements outlined in the Draft Performance Work Statement, and disclosure of any affiliated companies operating under similar NAICS codes. Responses are due by 10:00 a.m. Eastern Time on Thursday, July 30, 2026, to the Contracting Specialist Cynthia Laemmerhirt. All submissions will be treated as proprietary and will not constitute offers or form binding contracts. The acquisition falls under NAICS code 621910 with a size standard of $22.5 million, and successful respondents must be registered in SAM.gov with current electronic certifications as required by FAR 4.11 and 4.12 prior to any potential award.
244-NETWORK Contract Office 4 (36C244)

POSTED

4 days ago

DEADLINE

in 10 days
View Details
NAICS: 621910
New
International
W3554-266422 Confined Space Rescue Services – HMCS WindsorThe Government of Canada, through Public Services and Procurement Canada, is soliciting proposals for confined space rescue services specifically in support of HMCS Windsor, located in Nova Scotia. The solicitation, identified by number WS5599480971, was posted on July 16, 2026, with responses due by July 21, 2026. The work falls under the NAICS code 621910, indicating services related to other ambulatory health care services, which in this context involves specialized emergency response capabilities within confined spaces aboard the submerged vessel. The contract is intended for federal procurement and no set-aside provisions are specified. Brodie White of SPAC/PSPC is listed as the primary point of contact for inquiries and submissions. The services required must be performed at the designated location in Nova Scotia, and interested parties are directed to the Canada Buys portal for full tender documentation and submission guidelines.
Department of Public Works and Government Services

POSTED

4 days ago

DEADLINE

in 1 day
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NAICS: 621910
New
International
Rental of Private Ambulance Services for the Princess Margaret Hospital
Princess Margaret Hospital

POSTED

4 days ago

DEADLINE

N/A
View Details
NAICS: 621910
Awarded
DIBBS
EMS LEASE & SERVICE FIXED RATE (CON&OCONThe Defense Logistics Agency awarded Contract SP700021F0217 to CARTRIDGE TECHNOLOGIES, LLC (CAGE 068Z8) on July 15, 2026, under Delivery Order S31Q16BUA0006, for a total value of $491,225.20. The contract involves the lease and service of Emergency Medical Services equipment under two contract line items, CLIN 5002 for 96 units and CLIN 5004 for 248 units, both identified by NSN W074N0D0R0717, with detailed device specifications provided in Attachment 1 – Device List.xlsx. The work is performed at the contractor’s facility in Rockville, Maryland, with payment processed through the DCSO-P New Cumberland office located in Pennsylvania. The contract is structured as a firm-fixed-price arrangement based on the fixed-rate service description, with funding modifications made through Standard Form 30, Amendment P00017, which references applicable regulations including FAR 43.103(b), DFARS 252.232-7007, and GSA FAR 53.243. The accounting data used for funding is identified as AA: 97X4930 5GGX 8543H71 001 2337 85H0000H04 S33189 (5002,5004), though no explicit Treasury Account Symbol or appropriation line is provided. No specific delivery schedule, FOB terms, inspection or acceptance locations, packaging, preservation, or marking requirements are detailed within the available documentation. The Contracting Officer is David Corvino, and Janelle Conrad and Megan Perzia from DCSO-P New Cumberland serve as points of contact for administrative matters, though no formal COR or COTR is designated. The contractor’s CAGE code is confirmed, but no socioeconomic status, unique entity ID, or affirmative representations are documented. Invoicing methods, electronic submission portals, and evaluation factors for award are not specified in the materials provided.
Defense Logistics Agency

POSTED

5 days ago

DEADLINE

N/A
View Details
NAICS: 621910
New
Federal
Emergency Medical Support and Evacuation (MedEvac) ServicesNASA Johnson Space Center is seeking capabilities submissions for Emergency Medical Support and Evacuation Services to support its global workforce, with the intent to award a follow-on firm fixed price purchase order from October 1, 2026, through September 30, 2031. The services required include comprehensive air and surface medical transport with certified personnel, equipment, and licensed operations to stabilize and evacuate injured or ill travelers to NASA’s designated hospital, whether in the United States or abroad. Additional services encompass bedside case management, medical translation, guaranteed hospital admission and discharge, payment guarantees, repatriation of remains, and specialized support for Soyuz crew landings. The procurement is classified under NAICS code 621910 with a small business size standard of $22.5 million in annual revenue, and all respondents must declare their business size status per FAR Subpart 19.3. Responses must be submitted electronically by July 29, 2026, at 4:00 pm CDT to Kendrea Vallien, and will be evaluated solely to determine if the acquisition will be set aside for small business competition. Oral communications are prohibited, and the Ombudsman clause applies. The solicitation number for the upcoming request for quotes is 80JSC026MEDEVAC5Q.
NASA Johnson Space Center

POSTED

5 days ago

DEADLINE

in 9 days
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NAICS: 621910
Closed
Federal
V225--Ambulance Service (Columbus)This contract solicitation, identified as V225–Ambulance Service (Columbus) under solicitation number 36C25026Q7571, is a Total Small Business Set-Aside issued by the Department of Veterans Affairs through the 250-NETWORK Contract Office 10, with a NAICS code of 621910. It is structured as an Indefinite-Delivery Indefinite-Quantity (IDIQ) contract with a base period and four additional ordering periods extending through June 30, 2031, and has a maximum ceiling value of $8,999,999.00. The primary performance location is the Chalmers P. Wylie Veterans Administration Ambulatory Care Center and its associated clinics in Columbus, Ohio, with services available across the entire state of Ohio. Contractors must provide 24/7/365 ambulance services including Basic Life Support (BLS), Advanced Life Support (ALS), and stretcher or lay-flat transports, with specific line-item pricing for one-way trips up to 20 miles, waiting time in 15-minute increments, and mileage beyond base distance. On-time performance must meet a 97% Acceptable Quality Level (AQL), with pick-ups not exceeding 15 minutes past scheduled time, and service availability must maintain a 95% compliance rate monitored through 100% surveillance. Incident reporting requires immediate telephone notification within one hour of any accident or safety issue, followed by a written report by the close of the next business day. All offerors must be certified small businesses, with prime contractors required to self-certify their socioeconomic status and maintain active registration in the System for Award Management (SAM). To comply with the limitations on subcontracting clause, at least 50% of personnel costs must be incurred for the prime contractor’s own employees. Contractors must adhere to Department of Labor wage determinations, provide proof of applicable state licensing, and meet stringent insurance requirements including automobile, general liability, and workers’ compensation coverage. Personnel must complete a minimum of 150 hours of training compliant with Department of Health and Human Services standards, pass background checks per VA Directive 0710, and sign confidentiality agreements to ensure HIPAA compliance. Contract administration is governed by far-reaching clauses including service contract reporting requirements (with deviation), indefinite quantity provisions (with deviation), and ordering and order limitations. Invoices are submitted bi-month
250-NETWORK Contract Office 10 (36C250)

POSTED

7 days ago

CLOSED

4 days ago
View Details
NAICS: 621910
International
Medevac servicesThe Government of Canada, through the Department of National Defence, is soliciting medical evacuation services to support military personnel, DND employees, and their dependents on a global, 24/7 basis. The contractor must deliver comprehensive medevac services including bed-to-bed transportation via medically configured ground and aerial assets, with clear priority tiers: Priority 1 patients must be transported within 24 hours of initial request, Priority 2 within 36 hours, and Priority 3 within 48 hours. Services must cover critical/intensive care, psychiatric, and ambulatory patients and include full coordination, immigration and customs facilitation for patients, escorts, and crew, robust medical oversight, and strict reporting through the Administrative Post Medevac Report, which must accompany every invoice. The contractor is required to maintain current accreditation from either EURAMI or CAMTS and hold a valid Air Operator Certificate in air ambulance or aero medical operations, with regional exceptions permitting alternative credentialing in Asia, Australia, New Zealand, and North America provided an AOC is held. All medical crew must possess valid professional licenses recognized in Europe, North America, Asia, or Australasia. The contract has an initial performance period of approximately three years with the potential for two one-year option periods. Operations must be available around the clock, including holidays, with a dedicated 24/7 emergency response center serving as the single point of contact. Contractors must participate in up to five medevac scenario exercises annually and hold a quality assurance program on file. Security requirements are stringent: personnel handling sensitive information must hold a valid Secret Clearance or sign a Government of Canada Non-Disclosure Agreement, secure communication protocols must be in place, and all information related to undisclosed Canadian military locations must be immediately destroyed after use. The contractor is responsible for securing all necessary travel documentation for every individual involved in each evacuation, including crew and medical personnel. A virtual kick-off meeting via MS Teams must be conducted within ten business days of contract award. Responses to this solicitation are due by August 1, 2026, and must be submitted to Laura Adamson, Contracting Authority, at laura.adamson@forces.gc.ca. The solicitation is issued under NAICS code 621910 and is open to Indigenous businesses, First Nations organizations, and Inuit organizations, though no contract value or pricing structure has been specified at this stage.
Department of National Defence

POSTED

7 days ago

DEADLINE

in 12 days
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NAICS: 621910
SLED
Ambulance Services for DOC - RCCThe Louisiana Department of Public Safety and Corrections is seeking qualified providers to deliver ambulance services under Solicitation Number 3000026484, which was posted on July 13, 2026, with responses due by August 12, 2026, at 4:00 PM. The contract is managed by the Louisiana Procurement office and applies to services performed across the state of Louisiana, with no specific city designated for performance. This solicitation is open to all eligible entities without any set-aside classifications and falls under the SLED category, indicating it is aimed at state, local, or educational government entities. All inquiries and correspondence should be directed to the LaPAC Help Group via email at doa-osphelpdesk@la.gov or by phone at 225-342-8010. Interested parties can access further details and submit proposals through the official online portal at the provided UI link.
Procurement

POSTED

8 days ago

DEADLINE

in 23 days
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NAICS: 621910
SLED
Mileage-Based Transport ServicesThe contract pertains to mileage-based non-emergency medical transport services for inmates, covering scheduled appointments, dialysis treatments, and psychiatric evaluations. Services are compensated on a per-mile basis, with the provider expected to ensure timely, safe, and compliant transportation across the state of Louisiana. The solicitation is classified as a subcontract under NAICS code 621910, indicating it falls within other ambulatory health care services. It was posted on July 13, 2026, with a response deadline of August 12, 2026, at 4:00 PM, giving interested parties approximately four weeks to submit proposals. The contract is administered by the Louisiana Department of Administration’s Procurement division, and performance will occur statewide with no specific geographic restrictions listed. All transport must meet state and federal standards for medical conveyance, particularly for correctional populations, with adherence to scheduling, documentation, and reporting requirements implied by the nature of the services.
Procurement

POSTED

8 days ago

DEADLINE

in 23 days
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