If there is no emergency way to contact an ambulance in network then there should be no in- or out-of-network. Calling 911 does not give you an in-network and

If there is no emergency way to contact an ambulance in network then there should be no in- or out-of-network. Calling 911 does not give you an in-network and there no way to know in advance unless calling your insurance (in business hours, giving that you are not dying... which you probably are)