Medically Underserved Area Primary · mental · dental footprint

NM · Healthcare shortage profile

San Juan County, NM

The clinician FTE gap is the sharpest number here: closing San Juan County's active designations would take about 41 additional FTEs on HRSA's providers_needed estimate. Population 121,661.

Active HPSAs
18
Population
121,661
Peak shortage score
22.0
MUA Index
48.2

Heavy-burden verdict

According to current HRSA Data Warehouse records, San Juan County ranks among the most underserved counties in the country - 18 active HPSA designations, more than 94% of the 3,289 real US counties, with primary care the deepest gap.

18
Active HPSA designations
6
Dental shortages
22
Peak severity score (of 26)
Top 6%
US counties by volume

Key findings

What the HRSA Data Warehouse does not surface for San Juan County, NM 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.

  1. 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.

  2. Closing San Juan County's active designations would take about 41 additional clinician FTEs, with primary care the largest gap.

    HRSA providers_needed summed once per HPSA id (no double-count across status rows): 17 primary care, 9.7 mental health, 14 dental. This is the federal gap estimate, not a headcount of practising clinicians.

  3. 33.3% of San Juan County's 18 active designations are primary care.

    Discipline mix from designated HPSA records only: 6 primary care, 6 mental health, 6 dental (denominator 18).

Dense ZCTA lattice over San Juan County

San Juan County intersects 22 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.

Largest land-share ZCTAs in this county

10 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, San Juan County carries 18 active designations, above 94% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.

State peer position. San Juan County falls in the upper quarter of NM counties by active-designation volume, at rank 6 of 32. 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: 35045. Population: 121,661.

6
Dental HPSAs
6
Primary Care HPSAs
6
Mental Health HPSAs

Medically Underserved Area

MUA Designated
MUA Index: 48.2

Peak severity scores

Primary Care 19.0
Mental Health 21.0
Dental 22.0

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 18 active (designated) HPSAs in San Juan County, ranked by HRSA shortage score.

Name Type Score
Toadlena Health Station dental 22.0
Sanostee Health Station dental 22.0
Dzilth NA O Dith LE Health Center dental 22.0
Northern Navajo Medical Center dental 22.0
Northern Navajo Medical Center mental_health 21.0
Dzilth NA O Dith LE Health Center mental_health 21.0
Toadlena Health Station mental_health 21.0
Navajo Regional Behavioral Health Center dental 21.0
Sanostee Health Station mental_health 20.0
Catchment Area 1 mental_health 20.0
Sanostee Health Station primary_care 19.0
Toadlena Health Station primary_care 19.0
Navajo Regional Behavioral Health Center primary_care 19.0
Dzilth NA O Dith LE Health Center primary_care 19.0
Northern Navajo Medical Center primary_care 19.0
Navajo Regional Behavioral Health Center mental_health 19.0
LI - San Juan County dental 19.0
San Juan County primary_care 16.0

Heavy-burden reading for San Juan County

The clinician FTE gap is the sharpest number here: closing San Juan County's active designations would take about 41 additional FTEs on HRSA's providers_needed estimate. Dental care carries San Juan 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 19.0 of 25; Mental health reads 21.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 48.2, and the lower the index, the greater the measured need.

Volume places San Juan County above 94% of real US counties (18 active designations: 6 primary care, 6 mental health, 6 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.

San Juan County falls in the upper quarter of NM counties by active-designation volume, at rank 6 of 32. 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.

San Juan County designations by care type

Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

Heavy-volume FTE gap in San Juan County

Signature reading: HRSA providers_needed sums to about 41 FTE across San Juan County's active designations (once per HPSA id), a federal gap estimate, not practising headcount.

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

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

  • San Juan County's 18 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 NM before you draw conclusions from a single score. NM 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 San Juan County's 22.0. This compares the designation score only, not local appointment availability or care quality. Start with Richland County, OH and Franklin County, MA.

Showing 6 of 2744 counties nationally with an active designation this severe.

Counties with a matching designation count to San Juan County's 18

One peer set for this FTE-led county: nearest active designation count to 18 - the inventory behind the ~41 FTE published need.

Frequently Asked Questions

Does San Juan County's MUA standing sit beside its HPSA records?
Yes - San Juan County carries an MUA designation (index 48.2; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
Where is the largest clinician FTE gap inside San Juan County?
Id-de-duped providers_needed across active HPSAs totals ~41 FTE, with primary care the largest slice (17). "TOADLENA HEALTH STATION" is the highest-scored active row (score 22.0; dental; 18,730 people in the service area; designated 08/18/2019). This is HRSA's published gap, not a headcount of practising clinicians.
Which named designations drive San Juan County's FTE reading?
Active names on this release include "TOADLENA HEALTH STATION", "SANOSTEE HEALTH STATION", "DZILTH NA O DITH LE HEALTH CENTER" and "NORTHERN NAVAJO MEDICAL CENTER". Discipline counts: 6 primary care, 6 mental health, 6 dental across 18 designated rows.
Do San Juan County's FTE gaps unlock federal programs?
Yes where an ACTIVE designation exists, NHSC, CHC grants, Medicare bonus and J-1 waivers follow the designated geography and provider type. A published FTE gap without an active row does not, by itself, open those pathways.
How does San Juan County's FTE burden compare inside NM?
18 active designations and ~41 FTE published need. San Juan County falls in the upper quarter of NM counties by active-designation volume, at rank 6 of 32. Score-nearest counties on this release include Richland County, OH and Franklin County, MA.

Source: HRSA Data Warehouse. FIPS: 35045. 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 35045 (San Juan County, NM), vintage 2026-08-15. Active designation count 18; peak score 22.0; signature 41 FTE gap. This profile is reference material, not professional advice; see methodology.