Am I Rural? – Report

Report produced by the Rural Health Information Hub on 05/24/26.

Location
Report Address:
Shenandoah, IA *

Latitude: 40.76028
Longitude: -95.37222

Census Tract:
19145490300 (2020)

County:
Page County, IA

* Report is for a specific point in Shenandoah, IA. Results may not be the same for all points in Shenandoah, IA.

Common Rural Definitions
How Your Location is Defined
Core Based Statistical Areas (CBSAs), 2025

Data Source: 2025 TIGER/Line, U.S. Census Bureau

Nonmetropolitan - not located in a metropolitan or micropolitan area.
Urban Areas, 2020

Data Source: 2025 TIGER/Line, U.S. Census Bureau

Located within an Urban Area.
  • Urban Area Name: Shenandoah, IA Urban Area
  • UA Number: 81442
Federal Office of Rural Health Policy (FORHP) defined rural areas

Data Source: List provided by the Federal Office of Rural Health Policy - updated 9/12/2025

Page County, IA has been designated by FORHP as rural.
Frontier and Remote Area (FAR)
by 2020 census tract

Data Source: Frontier and Remote Area Codes, Economic Research Service

  • Not located in a Frontier and/or Remote area.
Rural-Urban Commuting Areas (RUCAs)
by 2020 census tract

Data Source: Rural-Urban Commuting Area Codes, Economic Research Service

  • RUCA Code: 7.0
  • Primary Description: Small town core: primary comuting flow is within an urban area of 9,999 or fewer people (small town UA)
Rural-Urban Continuum Codes (RUCCs) 2023

Data Source: Rural-Urban Continuum Codes, Economic Research Service

RUCCs are assigned at the county level.

Information for Page County

  • RUCC Code: 6
  • RUCC Description: Nonmetro - Urban population of 5,000 to 20,000, adjacent to a metro area
Urban Influence Codes (UICs) 2024

Data Source: Urban Influence Codes, Economic Research Service

 Information for Page County
  • Urban Influence Code: 6
  • UIC Description: Noncore, adjacent to a small metro area
Census 2020, Percent Rural

Data Source: Urban and Rural, U.S. Census Bureau

Information for Page County
  • Percent of County Population that is Rural: 33.76
Program Eligibility
The information provided by this service addresses only the rural aspect of a program's requirements. Your Am I Rural? report is not a guarantee of your rural status. Please check with the program contacts directly to verify your eligibility for specific federal programs.
Program Rural? Explanation
CMS - Rural Health Clinics (RHC) Program YES CMS interim guidance considers a location to meet the rural location requirement for the RHC program if it is outside of an urbanized area in the 2010 Census Bureau data OR if it is outside of an urban area in the 2020 Census Bureau data.
  • This location is outside of 2010 Urbanized Areas
Shortage Designations
Area Type Details
Primary Care Health Professional Shortage Area (HPSA) YES
Name: LI - Page County
ID: 1194626504
Type: HPSA Population
Population: Low Income Population HPSA
Score: 14
Date of Designation: February 23, 2026
Last Update: February 23, 2026
Dental Care HPSA YES
Name: LI - Page County
ID: 6195579237
Type: HPSA Population
Population: Low Income Population HPSA
Score: 15
Date of Designation: February 20, 2026
Last Update: February 20, 2026
Mental Health HPSA YES
Name: Cass/Fremont/Montgomery/Page Counties
ID: 7194273362
Type: Geographic HPSA
Score: 16
Date of Designation: December 10, 2021
Last Update: September 22, 2025
Medically Underserved Area/Population NO  

For data sources and definitions, see the Rural Classifications help section.