ND · Healthcare shortage profile
Williams County, ND
Peak severity leads this reading: Williams County's highest active HPSA score is 22.0, clearing HRSA's 17-point high-priority line. Population 40,950.
- Active HPSAs
- 10
- Population
- 40,950
- Peak shortage score
- 22.0
- MUA Index
- -
Heavy-burden verdict
According to current HRSA Data Warehouse records, Williams County ranks among the most underserved counties in the country - 10 active HPSA designations, more than 83% of the 3,289 real US counties, with mental health the deepest gap.
- 10
- Active HPSA designations
- 3
- Dental shortages
- 22
- Peak severity score (of 26)
- Top 17%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Williams 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 22.0 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 Williams County's active designations would take about 2.8 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 2.8 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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40% of Williams County's 10 active designations are mental health.
Discipline mix from designated HPSA records only: 3 primary care, 4 mental health, 3 dental (denominator 10).
Williams County's mid-pack ZIP footprint
10 Census ZCTAs intersect Williams 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
2 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
Active-designation volume placement
According to current HRSA Data Warehouse records, Williams County carries 10 active designations, above 83% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.
State peer position. Williams County falls in the upper quarter of ND counties by active-designation volume, at rank 5 of 53. 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: 38105. Population: 40,950.
Peak severity scores
Current designated records only. No Medically Underserved Area designation covers Williams County in the current HRSA release, federal support here runs through the HPSA route alone. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 10 active (designated) HPSAs in Williams County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Trenton Community Clinic | dental | 22.0 |
| Trenton Community Clinic | primary_care | 18.0 |
| Tioga Medical Center-Ray Rhc | mental_health | 17.0 |
| Trenton Community Clinic | mental_health | 16.0 |
| MH Northwest Catchment Area I | mental_health | 16.0 |
| Tioga Medical Center-Ray Rhc | primary_care | 15.0 |
| Tioga Medical Center-Ray Rhc | dental | 15.0 |
| Tioga Medical Center Tioga Rhc | dental | 15.0 |
| Tioga Medical Center Tioga Rhc | mental_health | 14.0 |
| Tioga Medical Center Tioga Rhc | primary_care | 13.0 |
Heavy-burden reading for Williams County
Peak severity leads this reading: Williams County's highest active HPSA score is 22.0, clearing HRSA's 17-point high-priority line. Dental care carries Williams County's deepest shortage reading, 22.0 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 18.0 of 25; Mental health reads 17.0 of 25. No Medically Underserved Area designation covers Williams County, so federal support here runs through the HPSA route alone.
Volume places Williams County above 83% of real US counties (10 active designations: 3 primary care, 4 mental health, 3 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.
Williams County falls in the upper quarter of ND counties by active-designation volume, at rank 5 of 53. 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.
Williams County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Mental health
Mental health
4 designations
- Primary care
Primary care
3 designations
- Dental
Dental
3 designations
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Williams County, ND · 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
Williams County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Williams County's 10 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 mental health burden compares with the rest of ND before you draw conclusions from a single score. ND 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 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.
Counties With a Similar Dental Shortage Score
Other U.S. counties whose active HRSA dental HPSA score is closest to Williams County's 22.0. This compares the designation score only, not local appointment availability or care quality. Start with Lincoln County, LA and Carlton County, MN.
Showing 6 of 2744 counties nationally with an active designation this severe.
Counties near Williams County's dental score of 22.0
One peer set for this severity-led county: nearest active dental HPSA score to 22.0 (severity lead on this page is “TRENTON COMMUNITY CLINIC”).
Lincoln County, LA
22.0 dental score · 48,396 pop.
Carlton County, MN
22.0 dental score · 36,207 pop.
Barranquitas County, PR
22.0 dental score · 28,983 pop.
Manatee County, FL
22.0 dental score · 399,710 pop.
Madera County, CA
22.0 dental score · 156,255 pop.
Grafton County, NH
22.0 dental score · 91,118 pop.
Frequently Asked Questions
- Which record sets Williams County's peak score of 22.0?
- "TRENTON COMMUNITY CLINIC" leads the active set (score 22.0; dental; 3,330 people in the service area; designated 10/28/2005). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 10 active rows: 3 primary care, 4 mental health, 3 dental.
- Why is Williams County not listed as a Medically Underserved Area?
- Williams County has no MUA designation on this release. Federal shortage support here runs through the active HPSA record set alone.
- Which other active designations sit under Williams County's severity reading?
- After "TRENTON COMMUNITY CLINIC", the next active names on this release are "TRENTON COMMUNITY CLINIC", "TRENTON COMMUNITY CLINIC", "TIOGA MEDICAL CENTER-RAY RHC" and "TRENTON COMMUNITY CLINIC". Provider need (id-de-duped) totals ~2.8 FTE across disciplines that still carry a gap.
- Which federal pathways follow Williams County's high-severity geography?
- Williams County's 10 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 "TRENTON COMMUNITY CLINIC".
- How does Williams County's peak severity sit inside ND?
- Williams County holds 10 active HPSA rows with peak 22.0. Williams County falls in the upper quarter of ND counties by active-designation volume, at rank 5 of 53. Score-nearest national peers appear below when the peer module renders. Score-nearest counties on this release include Lincoln County, LA and Carlton County, MN.
Source: HRSA Data Warehouse. FIPS: 38105. 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 38105 (Williams County, ND), vintage 2026-08-15. Active designation count 10; peak score 22.0; signature peak score 22.0. This profile is reference material, not professional advice; see methodology.