WA · Healthcare shortage profile
Lewis County, WA
Designation volume is the standout signal for Lewis County: 33 active HPSA records, above 98% of real US counties. Population 82,149.
- Active HPSAs
- 33
- Population
- 82,149
- Peak shortage score
- 18.0
- MUA Index
- MUA
Heavy-burden verdict
According to current HRSA Data Warehouse records, Lewis County ranks among the most underserved counties in the country - 33 active HPSA designations, more than 98% of the 3,289 real US counties, with primary care the deepest gap.
- 33
- Active HPSA designations
- 11
- Mental-health shortages
- 18
- Peak severity score (of 26)
- Top 2%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Lewis County, WA 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 Lewis County's active designations would take about 9.4 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 3.7 primary care, 3.7 mental health, 2 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Lewis County's 33 active designations are primary care.
Discipline mix from designated HPSA records only: 11 primary care, 11 mental health, 11 dental (denominator 33).
Dense ZCTA lattice over Lewis County
Lewis County intersects 24 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
12 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.
Lewis County vs. every real US county
Total active HPSA designations, including counties with none
33 Top 2% higher than 98% 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. Lewis County falls in the upper quarter of WA counties by active-designation volume, at rank 4 of 39. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 53041. Population: 82,149.
Single high-priority discipline
Lewis County's only high-priority (≥17) footprint is mental health
Current HRSA Data Warehouse rows attribute 11 active mental health designations to Lewis 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 mental health 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 33 active (designated) HPSAs in Lewis County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Lewis County Community Health Services | mental_health | 18.0 |
| Arbor Health Morton Clinic | mental_health | 16.0 |
| Lewis County Community Health Services | primary_care | 15.0 |
| Lewis County | mental_health | 15.0 |
| Centralia Specialty Center | mental_health | 15.0 |
| Providence Medical Group Southwest Washington | mental_health | 15.0 |
| Northwest Pediatric Center Inc PS | mental_health | 15.0 |
| Arbor Health Randle Clinic | mental_health | 15.0 |
| NW Pediatric Center Inc PS | mental_health | 15.0 |
| Arbor Health Packwood Clinic | dental | 15.0 |
| Arbor Health Morton Clinic | dental | 15.0 |
| Lewis County Community Health Services | dental | 15.0 |
| Arbor Health Randle Clinic | dental | 15.0 |
| Steck Medical Center | mental_health | 14.0 |
| Steck Medical Center | primary_care | 13.0 |
| Arbor Health Morton Clinic | primary_care | 13.0 |
| Arbor Health Randle Clinic | primary_care | 13.0 |
| Arbor Health Packwood Clinic | primary_care | 13.0 |
| Arbor Health Mossyrock Clinic | mental_health | 13.0 |
| Arbor Health Packwood Clinic | mental_health | 12.0 |
| NW Pediatric Center Inc PS | primary_care | 11.0 |
| Providence Medical Group Southwest Washington | primary_care | 11.0 |
| Centralia Specialty Center | primary_care | 11.0 |
| Northwest Pediatric Center Inc PS | primary_care | 11.0 |
| Arbor Health Mossyrock Clinic | dental | 11.0 |
| Lewis County | primary_care | 10.0 |
| LI - Lewis County | dental | 10.0 |
| NW Pediatric Center Inc PS | dental | 9.0 |
| Northwest Pediatric Center Inc PS | dental | 9.0 |
| Centralia Specialty Center | dental | 9.0 |
| Steck Medical Center | dental | 7.0 |
| Providence Medical Group Southwest Washington | dental | 7.0 |
| Arbor Health Mossyrock Clinic | primary_care | 5.0 |
Heavy-burden reading for Lewis County
Designation volume is the standout signal for Lewis County: 33 active HPSA records, above 98% of real US counties. Lewis County's severest measured gap is in mental health, scored 18.0 of 25, 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; Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, a separate HRSA designation from the HPSA records above.
Volume places Lewis County above 98% of real US counties (33 active designations: 11 primary care, 11 mental health, 11 dental). Peak severity on the current designated set is 18.0. 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.
Lewis County falls in the upper quarter of WA counties by active-designation volume, at rank 4 of 39. 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 Lewis County
HRSA providers_needed summed once per HPSA id for Lewis County's active designations: about 9.4 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Lewis County's high-priority mental health
Lewis County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Lewis County's high-priority mental health designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's mental health burden compares with the rest of WA before drawing conclusions from a single score. WA 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 Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to Lewis County's 18.0. This compares the designation score only, not local appointment availability or care quality. Start with Hendricks County, IN and Berrien County, MI.
Showing 6 of 3081 counties nationally with an active designation this severe.
High-volume peers of Lewis County (33 active)
One peer set for this volume-led county: nearest active designation count to 33 across the national corpus.
Frequently Asked Questions
- Does Lewis County's MUA standing sit beside its HPSA records?
- Yes - Lewis County carries an MUA designation in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Lewis County's 33 active HPSA designations?
- 33 Designated rows (11 primary care, 11 mental health, 11 dental). Highest-scored name on this release: "LEWIS COUNTY COMMUNITY HEALTH SERVICES" (score 18.0; mental health; 38,516 people in the service area; designated 09/30/2004). Also active: "ARBOR HEALTH MORTON CLINIC", "LEWIS COUNTY COMMUNITY HEALTH SERVICES", "Lewis County". Above 98% of real US counties by volume.
- What does volume-plus-score look like for Lewis County?
- Peak active score 18.0 in mental health clears the 17-point line while volume sits at 33 rows.
- What clinician need sits behind Lewis County's designation volume?
- Closing published gaps would take about 9.4 additional clinician FTEs (id-de-duped providers_needed). "LEWIS COUNTY COMMUNITY HEALTH SERVICES" is the severity lead inside that inventory.
- Which federal programs follow Lewis County's designation volume?
- 33 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 Lewis County's volume compare inside WA?
- 33 active HPSA rows · peak 18.0. Lewis County falls in the upper quarter of WA counties by active-designation volume, at rank 4 of 39. Score-nearest counties on this release include Hendricks County, IN and Berrien County, MI.
Source: HRSA Data Warehouse. FIPS: 53041. 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 53041 (Lewis County, WA), vintage 2026-08-15. Active designation count 33; peak score 18.0; signature 33 active designations. This profile is reference material, not professional advice; see methodology.