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Montgomery Police Capt. Saba Coleman said Israel Barrera, who suffered life-threatening injuries in the wreck, died at the hospital.
Decatur Morgan Hospital has the permit required to operate a full-time ambulance service in the city.
The Ambulance Regulatory Board recommended approval of the hospital's application for a certificate of public necessity and convenience.
If Decatur Morgan Hospital's application is approved, the city will have two ambulance services for the first time in seven years.
The new facility will provide more space for teaching students emergency medical technician skills and how to operate heavy equipment.
A crash that killed 10 people on a rain-slicked Alabama interstate happened after a tractor-trailer truck slammed into vehicles.
Decatur Morgan Hospital is creating a full-scale ambulance service that can handle citywide transports and emergency calls.
The hospital's CEO said the hospital may seek a city license to expand its ambulance operations because of concerns that First Response's service is inadequate.
Arnoldo Vasquez Hernandez's leg was crushed when an oak tree came crashing through his Alabama home earlier this year.