CO · Healthcare shortage profile
Grand County, CO
Designation volume is the standout signal for Grand County: 14 active HPSA records, above 90% of real US counties. Population 15,717.
- Active HPSAs
- 14
- Population
- 15,717
- Peak shortage score
- 19.0
- MUA Index
- 61.0
Heavy-burden verdict
According to current HRSA Data Warehouse records, Grand County ranks among the most underserved counties in the country - 14 active HPSA designations, more than 90% of the 3,289 real US counties, with mental health the deepest gap.
- 14
- Active HPSA designations
- 4
- Primary-care shortages
- 19
- Peak severity score (of 26)
- Top 10%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Grand County, CO 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 19.0 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 Grand County's active designations would take about 11 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 9.7 mental health, 1.5 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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35.7% of Grand County's 14 active designations are mental health.
Discipline mix from designated HPSA records only: 4 primary care, 5 mental health, 5 dental (denominator 14).
Grand County's mid-pack ZIP footprint
10 Census ZCTAs intersect Grand 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.
Grand County vs. every real US county
Total active HPSA designations, including counties with none
14 Top 10% higher than 90% 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. Grand County falls in the upper quarter of CO counties by active-designation volume, at rank 4 of 64. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 08049. Population: 15,717.
Single high-priority discipline
Grand County's only high-priority (≥17) footprint is primary care
Current HRSA Data Warehouse rows attribute 4 active primary care designations to Grand County , with a peak score of 19.0. 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 primary care records.
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 14 active (designated) HPSAs in Grand County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Middle Park Medical Center | primary_care | 19.0 |
| Middle Park Medical Center Kremmling Clinic | primary_care | 19.0 |
| Middle Park Medical Center | primary_care | 18.0 |
| Middle Park Health Grand Lake Clinic | primary_care | 18.0 |
| Middle Park Medical Center Kremmling Clinic | dental | 15.0 |
| Middle Park Medical Center | dental | 15.0 |
| Middle Park Health Grand Lake Clinic | dental | 15.0 |
| Middle Park Medical Center | dental | 15.0 |
| Colorado West Regional Mhca | mental_health | 14.0 |
| Grand County | dental | 14.0 |
| Middle Park Medical Center Kremmling Clinic | mental_health | 12.0 |
| Middle Park Medical Center | mental_health | 12.0 |
| Middle Park Medical Center | mental_health | 12.0 |
| Middle Park Health Grand Lake Clinic | mental_health | 11.0 |
Heavy-burden reading for Grand County
Designation volume is the standout signal for Grand County: 14 active HPSA records, above 90% of real US counties. Primary care is where Grand County is stretched thinnest: HRSA scores it 19.0 of 25, the county's highest severity reading and past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Mental health reads 14.0 of 25; Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 61.0, and the lower the index, the greater the measured need.
Volume places Grand County above 90% of real US counties (14 active designations: 4 primary care, 5 mental health, 5 dental). Peak severity on the current designated set is 19.0. 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.
Grand County falls in the upper quarter of CO counties by active-designation volume, at rank 4 of 64. 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 Grand County
HRSA providers_needed summed once per HPSA id for Grand County's active designations: about 11 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Grand County's high-priority primary care
Grand County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Grand County's high-priority primary care designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of CO before drawing conclusions from a single score. CO 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.
Counties With a Similar Primary Care Shortage Score
Other U.S. counties whose active HRSA primary-care HPSA score is closest to Grand County's 19.0. This compares the designation score only, not local appointment availability or care quality. Start with Lancaster County, NE and Sacramento County, CA.
Showing 6 of 2932 counties nationally with an active designation this severe.
High-volume peers of Grand County (14 active)
One peer set for this volume-led county: nearest active designation count to 14 across the national corpus.
Frequently Asked Questions
- Does Grand County's MUA standing sit beside its HPSA records?
- Yes - Grand County carries an MUA designation (index 61.0; 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 Grand County's 14 active HPSA designations?
- 14 Designated rows (4 primary care, 5 mental health, 5 dental). Highest-scored name on this release: "MIDDLE PARK MEDICAL CENTER" (score 19.0; primary care; 3,722 people in the service area; designated 09/23/2022). Also active: "MIDDLE PARK MEDICAL CENTER KREMMLING CLINIC", "MIDDLE PARK MEDICAL CENTER", "MIDDLE PARK HEALTH GRAND LAKE CLINIC". Above 90% of real US counties by volume.
- What does volume-plus-score look like for Grand County?
- Peak active score 19.0 in primary care clears the 17-point line while volume sits at 14 rows.
- What clinician need sits behind Grand County's designation volume?
- Closing published gaps would take about 11 additional clinician FTEs (id-de-duped providers_needed). "MIDDLE PARK MEDICAL CENTER" is the severity lead inside that inventory.
- Which federal programs follow Grand County's designation volume?
- 14 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 Grand County's volume compare inside CO?
- 14 active HPSA rows · peak 19.0. Grand County falls in the upper quarter of CO counties by active-designation volume, at rank 4 of 64. Score-nearest counties on this release include Lancaster County, NE and Sacramento County, CA.
Source: HRSA Data Warehouse. FIPS: 08049. 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 08049 (Grand County, CO), vintage 2026-08-15. Active designation count 14; peak score 19.0; signature 14 active designations. This profile is reference material, not professional advice; see methodology.