Medically Underserved Area Primary · mental · dental footprint

SD · Healthcare shortage profile

Ziebach County, SD

Home to 2,413 residents, with 12 active HRSA shortage designations.

Active HPSAs
12
Population
2,413
Peak shortage score
22.0
MUA Index
46.5

Heavy-burden verdict

According to current HRSA Data Warehouse records, Ziebach County ranks among the most underserved counties in the country - 12 active HPSA designations, more than 85% of the 3,289 real US counties, with primary care the deepest gap.

12
Active HPSA designations
4
Mental-health shortages
22
Peak severity score (of 26)
Top 15%
US counties by volume

Ziebach County vs. every real US county

Total active HPSA designations, including counties with none

12 Top 15% higher than 85% of 3,289 real US counties

0–20: 3,115 real US counties (95%). This entry sits in this band. 20–40: 128 real US counties (4%). Above this entry. 40–60: 32 real US counties (1%). Above this entry. 60–80: 7 real US counties (0%). Above this entry. 80–100: 2 real US counties (0%). Above this entry. 100–120: 1 real US counties (0%). Above this entry. 120–140: 2 real US counties (0%). Above this entry. 140–160: 1 real US counties (0%). Above this entry. 160–180: 0 real US counties (0%). Above this entry. 180–200: 0 real US counties (0%). Above this entry. 200–220: 0 real US counties (0%). Above this entry. 220–240: 0 real US counties (0%). Above this entry. 240–260: 0 real US counties (0%). Above this entry. 260–280: 1 real US counties (0%). Above this entry. This county 0 280 every real US county, bucketed by value

Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source HRSA Data Warehouse, designated HPSAs · 2026

State peer position. Ziebach County sits among the top three county rank positions in SD, at rank 2 of 66. Ties share a rank; the comparison uses the same current designated records as the national chart.

Healthcare shortage designations from HRSA. FIPS: 46137. Population: 2,413.

4
Mental Health HPSAs
4
Primary Care HPSAs
4
Dental HPSAs

Medically Underserved Area

MUA Designated
MUA Index: 46.5

Peak severity scores

Primary Care 18.0
Mental Health 22.0
Dental 21.0

Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need.

Highest-severity HPSA designations

All 12 active (designated) HPSAs in Ziebach County, ranked by HRSA shortage score.

Name Type Score
Three Rivers Mental Health Center - Mhca 8 mental_health 22.0
Red Scaffold Health Station dental 21.0
Eagle Butte dental 21.0
LI - Ziebach County dental 20.0
Eagle Butte mental_health 19.0
LI-Ziebach County primary_care 18.0
Red Scaffold Health Station mental_health 18.0
Cherry Creek HS mental_health 14.0
Cherry Creek HS dental 14.0
Eagle Butte primary_care 10.0
Red Scaffold Health Station primary_care 10.0
Cherry Creek HS primary_care 9.0

Heavy-burden reading for Ziebach County

Ziebach County's severest measured gap is in mental health, scored 22.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 18.0 of 25; Dental care reads 21.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 46.5, and the lower the index, the greater the measured need.

Volume places Ziebach County above 85% of real US counties (12 active designations: 4 primary care, 4 mental health, 4 dental). Peak severity on the current designated set is 22.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.

Ziebach County sits among the top three county rank positions in SD, at rank 2 of 66. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.

Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Ziebach County, SD · 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.

Acting on a heavy-burden county

Ziebach County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.

  • Ziebach County's 12 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
  • See how the county's primary care burden compares with the rest of SD before you draw conclusions from a single score. SD overview
  • Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA ratio checker

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.

Counties With a Similar Mental Health Shortage Score

Other U.S. counties whose active HRSA mental-health HPSA score is closest to Ziebach County's 22.0. This compares the designation score only, not local appointment availability or care quality.

Frequently Asked Questions

Is Ziebach County a Medically Underserved Area?

Yes, Ziebach County is designated as a Medically Underserved Area (MUA) by HRSA. The MUA Index for this county is 46.5. MUA designation qualifies the area for enhanced federal funding and provider incentive programs.

How many healthcare shortage areas does Ziebach County have?

Ziebach County, SD has 12 Health Professional Shortage Area designations: 4 in primary care, 4 in mental health, and 4 in dental care, according to HRSA data.

What does Ziebach County's HPSA score of 22.0 mean?

22.0 in mental health clears 17, HRSA's high-priority line, which is what makes providers here eligible for NHSC placement and enhanced reimbursement.

What healthcare providers are needed in Ziebach County?

Based on HRSA shortage designations, Ziebach County needs additional providers in primary care (family physicians, internists, pediatricians), mental health (psychiatrists, psychologists, clinical social workers), and dental care (dentists, dental hygienists). The National Health Service Corps offers loan repayment and scholarship programs for providers who serve in designated shortage areas.

Which federal programs do Ziebach County's designations unlock?

Ziebach County's 12 active designations open NHSC placement, Community Health Center grants, the Medicare bonus and J-1 waivers, but eligibility follows the designated area and provider type, not the county line.

How does Ziebach County compare to other counties in SD?

Ziebach County has 12 total HPSA designations with a peak shortage score of 22.0. You can compare shortage levels across all counties in SD on the state overview page, or view national county rankings to see where Ziebach County stands relative to the rest of the country.

Source: HRSA Data Warehouse. FIPS: 46137. PlainHealthAccess is not affiliated with HRSA or any government agency.

Disclaimer: This information is provided for informational purposes only and does not constitute professional advice. Data is sourced from the HRSA Data Warehouse. Consult a qualified professional before making decisions based on this data.

Verify with U.S. Census Bureau →