IA · Healthcare shortage profile
Mills County, IA
Mills County currently lists no active HPSA designations in the retained HRSA mirror, a federal status reading, not a local clinician census. Population 14,484.
- Active HPSAs
- 0
- Population
- 14,484
- Peak shortage score
- -
- MUA Index
- 55.1
Zero-designation verdict
According to current HRSA Data Warehouse records, Mills County, IA has no active shortage designations, placing it in the lowest-volume tier with 70 of 3,289 real US counties.
Key findings
What the HRSA Data Warehouse does not surface for Mills County, IA on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
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Mills County currently carries zero active HPSA designations in the retained HRSA mirror.
That is a statement about federal designation status on this release, not a count of clinicians practising in the county. Neighbouring service areas can still be designated.
Mills County's mid-pack ZIP footprint
11 Census ZCTAs intersect Mills County, between the 9 and 15 ZIP cuts across published counties: neither a postage-stamp footprint nor a metro-scale lattice.
Largest land-share ZCTAs
3 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Corpus placement
Lowest active-designation volume tier
According to current HRSA Data Warehouse records, Mills County is tied with 70 of 3,289 real US counties at zero active HPSA designations. This is a count placement, not evidence that local access is adequate; facility and population-group designations can cross county lines, and designation status changes over time.
State peer position. Mills County falls in the lower half of IA counties by active-designation volume, at rank 97 of 99. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 19129. Population: 14,484.
Medically Underserved Area
What zero active HPSAs means for Mills County
Mills County currently lists no active HPSA designations in the retained HRSA mirror, a federal status reading, not a local clinician census. HRSA publishes no shortage-severity scores for Mills County in the current release, so its designations carry no comparable severity reading. The county also sits inside a Medically Underserved Area, indexed at 55.1, and the lower the index, the greater the measured need.
Among 3,289 real US counties in the current HRSA release, 70 share this zero-active tier with Mills County. That count placement is not a finding that local access is adequate: facility and population-group designations can cross county lines, neighbouring service areas can remain designated, and the warehouse refreshes quarterly. Use HRSA's own shortage-area tools before treating today's empty county row as a settled access verdict.
Mills County falls in the lower half of IA counties by active-designation volume, at rank 97 of 99. The practical next check for a zero-active county is the IA state overview, where other counties may still carry primary-care, mental-health, or dental designations that affect regional staffing and program eligibility.
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Mills County, IA · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Reading a zero-HPSA county
No active designation here today, here is how to confirm the current status and look wider.
- Mills County holds no active HRSA designation today, but designations change every quarter, verify the current status directly with HRSA's official finder. How designations work
- Compare Mills County against the rest of IA, where other counties may carry active shortages. IA overview
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Light-volume peers of Mills County (0 active)
One peer set for this volume-led county: nearest active designation count to 0 across the national corpus.
Frequently Asked Questions
- Does Mills County's MUA standing sit beside its HPSA records?
- Yes - Mills County carries an MUA designation (index 55.1; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- Why does Mills County show zero active HPSA designations?
- HRSA's retained mirror lists no active (Designated) HPSA for Mills County on vintage 2026-08-15. That is a federal status reading, not a census of clinicians practising here, designations lapse and renew, and a neighbouring service area can still be designated.
- Can a facility in Mills County still reach NHSC or related programs?
- Programs that require an ACTIVE designation cannot open on Mills County's own FIPS today. A neighbouring designated service area or a population-group designation can still qualify a facility that sits inside that geography.
Source: HRSA Data Warehouse. FIPS: 19129. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 19129 (Mills County, IA), vintage 2026-08-15. Active designation count 0; peak score n/a; signature zero-active. This profile is reference material, not professional advice; see methodology.