Ambulance Services: federal contracts
Federal agencies obligated $354.1M in net prime contract dollars under NAICS 621910 in the 12 months ending Oct 5, 2026, up 0.2% from $353.5M in the preceding 12 months.
Obligations by fiscal year
Net prime contract obligations across all agencies.
Agency markets for this NAICS
Open an agency to see its top contractors, funding offices, and potential recompetes.
Top contractors
All agencies, ranked by net obligations in the latest 12 months.
| # | Contractor | Latest 12 mo |
|---|---|---|
| 1 | Excelsior Ambulance Service Inc | $33.0M |
| 2 | Reliance Medical Transport, LLC | $17.2M |
| 3 | Alert Ambulance Service, Inc. | $8.6M |
| 4 | Medex Medical Transport Service Inc | $7.3M |
| 5 | Wander Staffing LLC | $7.3M |
| 6 | Acadian Ambulance Service of Texas, LLC | $7.1M |
| 7 | Heartland Ambulance Service LLC | $7.0M |
| 8 | Pro Care Emergency Medical Services, LLC | $6.0M |
| 9 | Medshore Ambulance Service, Inc. | $5.9M |
| 10 | Life Line Ambulance Service, Inc. | $5.8M |
Recent awards
New prime contract awards of $100K or more under this NAICS code, most recent first.
| Award | Contractor | Obligated | Start |
|---|---|---|---|
| 36C26227N0041 | Air EMS Inc Department of Veterans Affairs | $704K | Oct 2, 2026 |
| 36C24527N0034 | JAN-Care Ambulance of Raleigh County, Inc. Department of Veterans Affairs | $3.8M | Oct 1, 2026 |
| 36C24727N0001 | Appointed Worldwide Holdings LLC Department of Veterans Affairs | $3.6M | Oct 1, 2026 |
| 36C24527N0022 | Rapid EMS LLC Department of Veterans Affairs | $3.2M | Oct 1, 2026 |
| 36C24827N0050 | Lifefleet Southeast Inc Department of Veterans Affairs | $3.2M | Oct 1, 2026 |
| 36C24927N0195 | Acadian Ambulance Service of Tennessee, LLC Department of Veterans Affairs | $3.0M | Oct 1, 2026 |
| 36C25627N0073 | Pafford Medical Services, Inc. Department of Veterans Affairs | $2.7M | Oct 1, 2026 |
| 36C26227N0009 | Life Line Ambulance Service, Inc. Department of Veterans Affairs | $2.6M | Oct 1, 2026 |
Prime contracts (award types A–D) from USAspending.gov, grouped by the NAICS code the agency assigned to each award. An award's NAICS code describes how the agency classified that purchase; it does not set eligibility for a future solicitation.
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