VA · Healthcare shortage profile
Shenandoah County, VA
Designation volume is the standout signal for Shenandoah County: 12 active HPSA records, above 85% of real US counties. Population 44,186.
- Active HPSAs
- 12
- Population
- 44,186
- Peak shortage score
- 16.0
- MUA Index
- 59.9
Heavy-burden verdict
According to current HRSA Data Warehouse records, Shenandoah 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
- Primary-care shortages
- 16
- Peak severity score (of 26)
- Top 15%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Shenandoah County, VA 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.
-
Closing Shenandoah County's active designations would take about 15 additional clinician FTEs, with dental the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 4.6 primary care, 4.3 mental health, 6.5 dental. This is the federal gap estimate, not a headcount of practising clinicians.
-
33.3% of Shenandoah County's 12 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 4 mental health, 4 dental (denominator 12).
-
Peak HPSA score 16.0 sits below HRSA's 17-point high-priority line.
Below-17 designations still count as shortages for program geography, but they do not clear the high-priority NHSC placement threshold on this release.
Shenandoah County's mid-pack ZIP footprint
15 Census ZCTAs intersect Shenandoah 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
7 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
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Shenandoah County carries 12 active designations, above 85% of real US counties. None of those scores clear HRSA's high-priority line of 17 on this release, so the page leads with severity reading rather than a national distribution chart.
State peer position. Shenandoah County sits among the top three county rank positions in VA, at rank 2 of 133. 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: 51171. Population: 44,186.
Below high-priority line
Shenandoah County is designated, but no active score clears 17
12 active designations sit on this FIPS (4 primary care, 4 mental health, 4 dental), and the peak severity is 16.0. That is a formal shortage footprint without HRSA's high-priority (≥17) tier, so NHSC placement geography is usually weaker here than on counties whose lead score clears the line.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 12 active (designated) HPSAs in Shenandoah County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| VH Smh Multispecialty Clinic | primary_care | 16.0 |
| VH Smh Multispecialty Clinic New Market | mental_health | 16.0 |
| VH Shenandoah Mem Hosp Family Medicine Strasburg | mental_health | 16.0 |
| VH Smh Multispecialty Clinic | mental_health | 16.0 |
| VH Shenandoah Mem Hosp Family Medicine Strasburg | dental | 15.0 |
| VH Smh Multispecialty Clinic New Market | dental | 15.0 |
| VH Smh Multispecialty Clinic | dental | 15.0 |
| VH Smh Multispecialty Clinic New Market | primary_care | 14.0 |
| VH Shenandoah Mem Hosp Family Medicine Strasburg | primary_care | 14.0 |
| LI - Northwestern Mhca | mental_health | 14.0 |
| Shenandoah County | dental | 12.0 |
| Shenandoah-Page | primary_care | 10.0 |
Heavy-burden reading for Shenandoah County
Designation volume is the standout signal for Shenandoah County: 12 active HPSA records, above 85% of real US counties. Shenandoah County's shortage runs equally deep in primary care and mental health: both scored 16.0 by HRSA, still short of the 17-point priority line, though the designation itself is formal. Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 59.9, and the lower the index, the greater the measured need.
Volume places Shenandoah 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 16.0. 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.
Shenandoah County sits among the top three county rank positions in VA, at rank 2 of 133. 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.
Heavy-volume FTE gap in Shenandoah County
HRSA providers_needed summed once per HPSA id for Shenandoah County's active designations: about 15 FTE, a federal gap estimate, not a headcount of practising clinicians.
High-volume peers of Shenandoah County (12 active)
One peer set for this volume-led county: nearest active designation count to 12 across the national corpus.
Frequently Asked Questions
- Does Shenandoah County's MUA standing sit beside its HPSA records?
- Yes - Shenandoah County carries an MUA designation (index 59.9; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Shenandoah County's 12 active HPSA designations?
- 12 Designated rows (4 primary care, 4 mental health, 4 dental). Highest-scored name on this release: "VH SMH MULTISPECIALTY CLINIC" (score 16.0; primary care; 49,033 people in the service area; designated 11/05/2024). Also active: "VH SMH MULTISPECIALTY CLINIC NEW MARKET", "VH SHENANDOAH MEM HOSP FAMILY MEDICINE STRASBURG", "VH SMH MULTISPECIALTY CLINIC". Above 85% of real US counties by volume.
- What does volume-plus-score look like for Shenandoah County?
- Peak active score 16.0 in primary care and mental health stays under the 17-point line while volume sits at 12 rows.
- What clinician need sits behind Shenandoah County's designation volume?
- Closing published gaps would take about 15 additional clinician FTEs (id-de-duped providers_needed). "VH SMH MULTISPECIALTY CLINIC" is the severity lead inside that inventory.
- Which federal programs follow Shenandoah County's designation volume?
- 12 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does Shenandoah County's volume compare inside VA?
- 12 active HPSA rows · peak 16.0. Shenandoah County sits among the top three county rank positions in VA, at rank 2 of 133. Score-nearest counties on this release include Cumberland County, ME and Deschutes County, OR.
Source: HRSA Data Warehouse. FIPS: 51171. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 51171 (Shenandoah County, VA), vintage 2026-08-15. Active designation count 12; peak score 16.0; signature 12 active designations. This profile is reference material, not professional advice; see methodology.