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ZipVitals

ZIP code

58535

in Flasher, North DakotaPopulation 500

57.02/ 100

Ranked #7,262 of 32,066 US ZIPs (top 23%)

Ranked #94 of 371 North Dakota ZIPs (top 25%)

Ranked #12 of 19 Bismarck, ND ZIPs (bottom 37%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 health domains

What defines this ZIP

Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.

Elder-services access

1.7 per 1,000 residents

in the top 0.3% nationally

Higher is healthier

ST94th
US99th
Definition & source ›

The number of services for older adults and people with disabilities inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.

Full methodology ›

Distance to a Superfund site

171.8 mi

in the top 1.4% nationally

Higher is healthier

ST49th
US99th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.

Full methodology ›

Loneliness

26.8%

in the bottom 2.5% nationally

Lower is healthier

ST23rd
US2nd
Definition & source ›

The estimated share of adults who report feeling lonely.

Full methodology ›

Radon

3.4 pCi/L

in the top 5.6% nationally

Lower is healthier

ST71st
US94th
Definition & source ›

The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.

Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.

Full methodology ›

Binge drinking

20.5%

in the top 4.5% nationally

Lower is healthier

ST69th
US96th
Definition & source ›

The estimated share of adults who report binge drinking — five or more drinks on one occasion for men, four or more for women.

Full methodology ›

Distance to a nursing home

15.9 mi

in the top 4.9% nationally

Lower is healthier

ST84th
US95th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.

Full methodology ›

Fine-particle (PM2.5) exceedance

1.9%

in the top 5.0% nationally

Lower is healthier

ST58th
US95th
Definition & source ›

The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.

Full methodology ›

Fiber broadband

98.4%

in the top 6.1% nationally

Higher is healthier

ST59th
US94th
Definition & source ›

The share of homes where fiber-optic internet service is available.

Full methodology ›

Air-toxics cancer risk

18.4 per million

in the bottom 6.8% nationally

Lower is healthier

ST15th
US7th
Definition & source ›

The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.

Full methodology ›

Slow internet speeds

1.6%

in the top 7.0% nationally

Lower is healthier

ST64th
US93rd
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

Full methodology ›

The read

Flasher, North Dakota (ZIP 58535), on the composite measure, lands in the top 23% healthiest ZIPs nationally (7,262nd) and the top 25% of North Dakota (94th).

continue reading

Where the data leans one way, another reading answers it: elder services settles in the top 0.3% nationally, distance to a Superfund site stands in the top 1.4% nationally, and modeled loneliness is in the bottom 2.5% nationally. Fiber broadband rests in the top 6.1% nationally, and modeled air-toxics cancer risk sits in the bottom 6.8% nationally. On the other hand, modeled radon registers in the top 5.6% nationally, and binge drinking lands in the top 4.5% nationally. Distance to a nursing home resides in the top 4.9% nationally, and modeled fine-particle lies in the top 5.0% nationally. Slow internet speeds settles in the top 7.0% nationally.

Set against the neighboring ZIPs, elder services runs far higher than the surrounding ZIPs on this measure. In everyday language, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. A healthier neighbor overall sits at ZIP 58554, just across the boundary.

What’s driving this score

Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts. Compare it against the US, this state and the Bismarck, ND metro area.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.

Compare within

Lifting this score

Chronic Disease Burden

healthier than 62%

21%

Preventive Care

healthier than 76%

13%

Mental Health

healthier than 91%

8%

Disability

healthier than 76%

7%

Climate / Disaster Risk

healthier than 82%

5%

About typical

Social Need / SDOH

healthier than 59%

16%

Environmental Hazard

healthier than 40%

14%

Risk Behavior

healthier than 52%

11%

Holding it back

Healthcare Access

healthier than 5%

5%

Lifting this score

Chronic Disease Burden

healthier than 64%

21%

Environmental Hazard

healthier than 69%

14%

Preventive Care

healthier than 69%

13%

Mental Health

healthier than 66%

8%

Disability

healthier than 68%

7%

About typical

Social Need / SDOH

healthier than 42%

16%

Climate / Disaster Risk

healthier than 50%

5%

Healthcare Access

healthier than 40%

5%

Holding it back

Risk Behavior

healthier than 39%

11%

Lifting this score

Environmental Hazard

healthier than 86%

14%

Preventive Care

in the top 0.00%

13%

Disability

healthier than 64%

7%

About typical

Chronic Disease Burden

healthier than 50%

21%

Mental Health

healthier than 50%

8%

Climate / Disaster Risk

healthier than 43%

5%

Holding it back

Social Need / SDOH

healthier than 21%

16%

Risk Behavior

healthier than 36%

11%

Healthcare Access

healthier than 7%

5%

“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›

Nearby & similar ZIPs

Editorially selected — see how this ZIP compares to nearby and similar places.

How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured

Evidence

Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.

Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Arthritis among adults29.3%26.4–32.2
High blood pressure among adults35.7%32.3–39.0
Cancer (non-skin) or melanoma among adults10.1%9.2–11.0
Current asthma among adults9.8%8.7–10.9
Coronary heart disease among adults7.1%6.3–8.0
Chronic obstructive pulmonary disease among adults6.5%5.6–7.5
Depression among adults19.8%17.2–22.6
Diagnosed diabetes among adults10.6%9.1–12.0
High cholesterol among adults who have ever been screened37.9%34.4–41.3
Obesity among adults38.2%33.0–43.5
Stroke among adults3.4%3.0–3.8
All teeth lost among adults aged >=65 years9.7%8.1–11.4
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years6.2%5.0–7.7
Taking medicine to control high blood pressure among adults with high blood pressure79.8%77.2–82.1
Visits to doctor for routine checkup within the past year among adults76.7%73.5–79.5
Cholesterol screening among adults86.2%84.4–87.9
Colorectal cancer screening among adults aged 45–75 years70.4%66.4–74.1
Visited dentist or dental clinic in the past year among adults67.5%64.5–70.4
Mammography use among women aged 50-74 years79.3%73.9–84.2
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults20.5%17.7–23.4
Current cigarette smoking among adults13.6%11.4–15.9
No leisure-time physical activity among adults23.0%19.5–26.6
Short sleep duration among adults31.7%27.4–36.3
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults15.9%13.7–18.2
Frequent mental distress among adults13.0%11.4–14.6
Frequent physical distress among adults11.8%10.3–13.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults11.1%9.6–12.6
Any disability among adults27.0%23.6–30.6
Hearing disability among adults8.8%7.8–9.8
Independent living disability among adults6.5%5.7–7.4
Mobility disability among adults12.2%10.5–14.0
Self-care disability among adults3.2%2.8–3.6
Vision disability among adults3.9%3.5–4.4
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults19.8%16.9–22.6
Food insecurity in the past 12 months among adults8.6%7.1–10.1
Received food stamps in the past 12 months among adults5.3%4.3–6.4
Housing insecurity in the past 12 months among adults7.3%6.2–8.5
Lack of reliable transportation in the past 12 months among adults5.1%4.4–5.7
Loneliness among adults26.8%23.2–30.4
Utility services shut-off threat in the past 12 months among adults4.8%4.0–5.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)ND median (p10–p90)
Poverty rate7.9%10.6% (3.1–25.8%) n=32,3648.0% (1.0–21.4%) n=380
Uninsured 18–6413.3%9.0% (1.5–24.3%) n=32,2866.5% (0.0–19.2%) n=380
No HS diploma (25+)13.5%7.9% (1.8–20.7%) n=32,5056.3% (0.6–13.4%) n=382
Bachelor's or higher (25+)25.2%23.3% (9.2–53.6%) n=32,50524.6% (12.5–41.0%) n=382
Unemployment rate (16+)1.7%3.9% (0.0–9.8%) n=32,2741.1% (0.0–6.5%) n=382
Households without a vehicle2.0%3.9% (0.0–12.5%) n=32,3221.5% (0.0–7.4%) n=379
Broadband subscription85.0%89.3% (75.1–97.1%) n=32,32288.7% (75.3–98.1%) n=379
Housing cost burden (≥30% income)14.2%23.7% (10.6–40.0%) n=32,32215.2% (4.0–28.2%) n=379
Homeownership rate90.1%78.7% (51.7–94.0%) n=32,32283.5% (59.2–98.7%) n=379
Crowded housing (>1 per room)0.8%1.3% (0.0–6.3%) n=32,3220.0% (0.0–4.6%) n=379
Foreign-born population0.0%2.6% (0.0–18.6%) n=32,5530.9% (0.0–5.7%) n=383
Single-parent households48.1%53.6% (37.3–74.1%) n=32,08759.3% (40.0–83.3%) n=377
Population 65+30.0%19.4% (10.8–33.6%) n=32,55321.6% (9.1–38.9%) n=383
Median age49.7 yr42.2 yr (33.0–56.3) n=32,29242.9 yr (31.1–60.2) n=381
Median household income$66,375$72,070 ($46,039–$118,707) n=30,318$79,666 ($56,729–$115,391) n=354
Median home value$121,700$222,200 ($100,300–$579,820) n=30,049$159,750 ($88,870–$297,180) n=328
Median gross rent$570$1,021 ($677–$1,912) n=25,670$767 ($513–$1,222) n=212
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)ND median (p10–p90)
Life expectancy at birth84.8 yr ± 2.4478.9 yr (74.7–82.8) n=31,30880.0 yr (77.6–84.0) n=379

About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 2.44 years of 84.8, and it’s very unlikely to be off by more than twice that.

More ZIPs to explore ▾

How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured