North Dakota

State Office of Rural Health

North Dakota State Office of Rural Health

Phone: 701.330.3264
Email: nicole.threadgold@und.edu

Helps the rural communities in North Dakota build healthcare services through collaboration. Works with hospitals and other healthcare related facilities. Administers the Medicare Rural Hospital Flexibility Program (FLEX), Small Rural Hospital Improvement Program (SHIP), and provides grant development assistance.
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North Dakota Nonmetro Population

776,874

Estimated population

307,012 (39.5%)

People living in nonmetro areas

Source: U.S. Census ACS 2022 5-year estimate

North Dakota Rural Healthcare Facilities

37

Critical Access Hospitals

0

Rural Emergency Hospitals

57

Rural Health Clinics

15

Federally Qualified Health Centers*

1

Short Term/PPS Hospitals*

*Sites according to data.HRSA.gov (July 2024), showing only locations outside of U.S. Census Bureau Urban Areas with a population of 50,000 or more

Selected Social Determinants of Health for Rural North Dakota

Most North Dakotans have some form of health insurance coverage, although 6.6% of its residents lack health insurance (Kaiser, 2022). According to the USDA Economic Research Service, the average per capita income for North Dakotans in 2021 was $64,524, with the rural per capita income at $65,540. The ERS reports, based on 2021 ACS data, that the poverty rate in rural North Dakota is 11.1%, compared with 10.8% in urban areas of the state. 8.2% of the rural population has not completed high school, while 5.2% of the urban population lacks a high school diploma according to 2017-2021 ACS data reported by ERS. The unemployment rate in rural North Dakota is 2.4%, while in urban North Dakota it is 1.9% (USDA-ERS, 2022).