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North Dakota

North Dakota covers 68,976 square miles, with a 2019 estimated population of 762,062 people - 377,509 living in rural North Dakota (USDA-ERS). Bismarck, the capital, is located in the south-central region of the state. The state's largest cities are Fargo, Bismarck, Grand Forks, and Minot. According to 2019 data from the U.S. Census Bureau, 86.9% of the state's population is white, 3.4% is African-American, 1.7% is Asian, 5.6% is American Indian or Alaska Native, 0.1% is Native Hawaiian or Other Pacific Islander, and 4.1% is of Hispanic or Latino origin.

North Dakota Rural Healthcare Facilities

North Dakota Rural Healthcare Facilities map

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According to, as of April 2021 North Dakota had:

  • 36 Critical Access Hospitals
  • 53 Rural Health Clinics
  • 14 Federally Qualified Health Center sites located outside of Urbanized Areas
  • 3 short term hospitals located outside of Urbanized Areas

Selected Social Determinants of Health for Rural North Dakota

Most North Dakotans have some form of health insurance coverage, although 7.4% of its residents lack health insurance (Kaiser, 2019). According to the USDA Economic Research Service, the average per capita income for North Dakotans in 2019 was $57,232, with the rural per capita income at $57,144. The ERS reports, based on 2019 ACS data, that the poverty rate in rural North Dakota is 10.4%, compared with 10.6% in urban areas of the state. 9.0% of the rural population has not completed high school, while 5.7% of the urban population lacks a high school diploma according to 2015-2019 ACS data reported by ERS. The unemployment rate in rural North Dakota is 2.5%, while in urban North Dakota it is 2.2% (USDA-ERS, 2019).

For a national comparison, please see an overview of the United States.

Data Sources
Kaiser Family Foundation State Health Facts; U.S. Census Bureau QuickFacts; USDA Economic Research Service: State Fact Sheets


North Dakota State Office of Rural Health
Phone: 701.777.3848
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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There are more organizations related to North Dakota in the organizations section.