ND · Healthcare shortage profile
Bottineau County, ND
Peak severity leads this reading: Bottineau County's highest active HPSA score is 18.0, clearing HRSA's 17-point high-priority line. Population 6,379.
- Active HPSAs
- 5
- Population
- 6,379
- Peak shortage score
- 18.0
- MUA Index
- 53.6
Mid-burden verdict
According to current HRSA Data Warehouse records, Bottineau County holds a moderate federal shortage burden - 5 active HPSA designations, more than 47% of the 3,289 real US counties, with primary care the deepest gap.
- 5
- Active HPSA designations
- 1
- Dental shortages
- 18
- Peak severity score (of 26)
- Top 53%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Bottineau County, ND 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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Peak HPSA score 18.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
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Closing Bottineau County's active designations would take about 1.3 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.9 primary care, 0.3 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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40% of Bottineau County's 5 active designations are primary care.
Discipline mix from designated HPSA records only: 2 primary care, 2 mental health, 1 dental (denominator 5).
Bottineau County's mid-pack ZIP footprint
14 Census ZCTAs intersect Bottineau 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
6 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.
Bottineau County vs. every real US county
Total active HPSA designations, including counties with none
5 Top 53% higher than 47% of 3,289 real US counties
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. Bottineau County falls in the upper half of ND counties by active-designation volume, at rank 19 of 53. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 38009. Population: 6,379.
Single high-priority discipline
Bottineau County's only high-priority (≥17) footprint is dental care
Current HRSA Data Warehouse rows attribute 1 active dental care designation to Bottineau County , with a peak score of 18.0. Other care categories may still be designated here, but none of them clear HRSA's high-priority score line of 17 on the current release, NHSC and related instruments concentrate on the dental care records.
Medically Underserved Area
Active HPSA 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 5 active (designated) HPSAs in Bottineau County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Smp Health - St Andrews | dental | 18.0 |
| Smp Health - St Andrews | primary_care | 15.0 |
| Smp Health - St Andrews | mental_health | 15.0 |
| Bottineau County | primary_care | 14.0 |
| Bottineau County | mental_health | 14.0 |
Moderate-burden reading for Bottineau County
Peak severity leads this reading: Bottineau County's highest active HPSA score is 18.0, clearing HRSA's 17-point high-priority line. Dental care carries Bottineau County's deepest shortage reading, 18.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 15.0 of 25; Mental health reads 15.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 53.6, and the lower the index, the greater the measured need.
Bottineau County sits in the middle of the national designation-volume distribution (above 47% of counties) with 5 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (2/2/1) before assuming every care category is equally short.
Bottineau County falls in the upper half of ND counties by active-designation volume, at rank 19 of 53. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.
Mid-pack clinician FTE gap for Bottineau County
HRSA providers_needed summed once per HPSA id for Bottineau County's active designations: about 1.3 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Bottineau County's high-priority dental care
Bottineau County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Bottineau County's high-priority dental care designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's dental care burden compares with the rest of ND before drawing conclusions from a single score. ND overview
- Check the provider-to-population ratio behind an HPSA score against HRSA's designation thresholds. HPSA score lookup
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.
Nearby dental score peers
Closest U.S. counties on active dental HPSA score to Bottineau County's 18.0. Open Cleveland County, OK or Arecibo County, PR next.
Showing 3 of 2744 counties nationally with an active designation this severe.
Counties near Bottineau County's dental score of 18.0
One peer set for this severity-led county: nearest active dental HPSA score to 18.0 (severity lead on this page is “SMP HEALTH - ST ANDREWS”).
Cleveland County, OK
18.0 dental score · 295,528 pop.
Arecibo County, PR
18.0 dental score · 87,754 pop.
Allegany County, MD
18.0 dental score · 68,106 pop.
Vermilion County, LA
18.0 dental score · 57,359 pop.
Humacao County, PR
18.0 dental score · 50,896 pop.
Hancock County, MS
18.0 dental score · 46,053 pop.
Frequently Asked Questions
- Does Bottineau County's MUA standing sit beside its HPSA records?
- Yes - Bottineau County carries an MUA designation (index 53.6; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- Which record sets Bottineau County's peak score of 18.0?
- "SMP HEALTH - ST ANDREWS" leads the active set (score 18.0; dental; 6,893 people in the service area; designated 09/23/2022). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 5 active rows: 2 primary care, 2 mental health, 1 dental.
- Which other active designations sit under Bottineau County's severity reading?
- After "SMP HEALTH - ST ANDREWS", the next active names on this release are "SMP HEALTH - ST ANDREWS", "SMP HEALTH - ST ANDREWS", "SMP HEALTH - ST ANDREWS" and "Bottineau County". Provider need (id-de-duped) totals ~1.3 FTE across disciplines that still carry a gap.
- Which federal pathways follow Bottineau County's high-severity geography?
- Bottineau County's 5 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, eligibility follows the designated area and provider type, not merely the county line around "SMP HEALTH - ST ANDREWS".
Source: HRSA Data Warehouse. FIPS: 38009. 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 38009 (Bottineau County, ND), vintage 2026-08-15. Active designation count 5; peak score 18.0; signature peak score 18.0. This profile is reference material, not professional advice; see methodology.