Skip to main content
Rural Health Information Hub

North Dakota

North Dakota covers 68,976 square miles, with a 2021 estimated population of 774,948 people - 377,526 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 2021 data from the U.S. Census Bureau, an estimated 86.7% of the state's population is White, 3.5% is African-American, 1.7% is Asian, 5.7% is American Indian or Alaska Native, 0.1% is Native Hawaiian or Other Pacific Islander, and 4.4% is of Hispanic or Latino origin.

North Dakota Rural Healthcare Facilities

Critical Access Hospitals
Rural Health Clinics
Federally Qualified Health Centers*
Short Term/PPS Hospitals*
*Sites located outside of Urbanized Areas according to April 2022.

Selected Social Determinants of Health for Rural North Dakota

Most North Dakotans have some form of health insurance coverage, although 6.2% of its residents lack health insurance (Kaiser, 2020). According to the USDA Economic Research Service, the average per capita income for North Dakotans in 2020 was $61,530, with the rural per capita income at $62,412. The ERS reports, based on 2020 ACS data, that the poverty rate in rural North Dakota is 10.4%, compared with 10.1% in urban areas of the state. 8.4% of the rural population has not completed high school, while 5.4% of the urban population lacks a high school diploma according to 2016-2020 ACS data reported by ERS. The unemployment rate in rural North Dakota is 4.3%, while in urban North Dakota it is 3.1% (USDA-ERS, 2021).

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.
view details

There are more organizations related to North Dakota in the organizations section.

Last Reviewed: 1/14/2022