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ZipVitals

ZIP code

58643

in Marmarth, North DakotaPopulation 119

52.48/ 100

Ranked #12,777 of 32,066 US ZIPs (top 40%)

Ranked #268 of 371 North Dakota ZIPs (bottom 28%)

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

Broad coverage across 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.

Distance to a community health center

58.9 mi

in the top 0.6% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.

Full methodology ›

Distance to a nursing home

39.2 mi

in the top 1.0% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

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

Full methodology ›

Distance to a Superfund site

120 mi

in the top 2.7% nationally

Higher is healthier

ST22nd
US97th
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 ›

Home broadband subscription

63.4%

in the bottom 3.7% nationally

Higher is healthier

ST2nd
US4th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Distance to an emergency room

22.1 mi

in the top 4.3% nationally

Lower is healthier

ST85th
US96th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.

Full methodology ›

Humid extreme heat

8.5 days/year

in the bottom 5.6% nationally

Lower is healthier

ST7th
US6th
Definition & source ›

The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.

Full methodology ›

Air-toxics cancer risk

11.9 per million

in the bottom 5.8% nationally

Lower is healthier

ST11th
US6th
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 ›

Loneliness

27.7%

in the bottom 5.9% nationally

Lower is healthier

ST52nd
US6th
Definition & source ›

The estimated share of adults who report feeling lonely.

Full methodology ›

Slow internet speeds

2.0%

in the top 5.9% nationally

Lower is healthier

ST68th
US94th
Definition & source ›

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

Full methodology ›

Fiber broadband

98%

in the top 6.6% nationally

Higher is healthier

ST55th
US93rd
Definition & source ›

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

Full methodology ›

The read

By the composite measure, Marmarth, North Dakota (ZIP 58643) sits in the top 40% healthiest ZIPs nationally (12,777th) and the bottom 28% of North Dakota (268th), based on limited data; treat as directional.

continue reading

Where the data leans one way, another reading answers it: distance to a Superfund site settles in the top 2.7% nationally, modeled humid heat stands in the bottom 5.6% nationally, and modeled air-toxics cancer risk is in the bottom 5.8% nationally. Modeled loneliness rests in the bottom 5.9% nationally, and fiber broadband sits in the top 6.6% nationally. On the other hand, distance to a community health center registers in the top 0.6% nationally, and distance to a nursing home lands in the top 1.0% nationally. Home broadband subscription resides in the bottom 3.7% nationally, and distance to an emergency room lies in the top 4.3% nationally. Slow internet speeds settles in the top 5.9% nationally.

In plain language, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. ZIP 58651, just across the boundary, ranks healthier overall.

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.

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

Compare within

Lifting this score

Environmental Hazard

healthier than 95%

14%

Preventive Care

healthier than 67%

13%

Mental Health

healthier than 83%

8%

Climate / Disaster RiskPartial

healthier than 88%

5%

About typical

Chronic Disease Burden

healthier than 42%

21%

Social Need / SDOH

healthier than 58%

16%

Risk Behavior

healthier than 45%

11%

Disability

healthier than 54%

7%

Holding it back

Healthcare Access

in the bottom 0.09%

5%

Lifting this score

Environmental Hazard

in the top 0.2%

14%

Climate / Disaster RiskPartial

healthier than 73%

5%

About typical

Social Need / SDOH

healthier than 41%

16%

Preventive Care

healthier than 49%

13%

Holding it back

Chronic Disease Burden

healthier than 34%

21%

Risk Behavior

healthier than 29%

11%

Mental Health

healthier than 26%

8%

Disability

healthier than 33%

7%

Healthcare Access

in the bottom 0.00%

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 adults31.5%28.2–35.2
High blood pressure among adults38.9%34.7–43.3
Cancer (non-skin) or melanoma among adults10.0%9.0–11.0
Current asthma among adults10.6%9.4–11.9
Coronary heart disease among adults7.9%6.9–9.1
Chronic obstructive pulmonary disease among adults8.3%6.8–9.9
Depression among adults20.9%17.9–24.3
Diagnosed diabetes among adults12.4%10.7–14.4
High cholesterol among adults who have ever been screened38.5%34.3–42.9
Obesity among adults40.0%32.3–48.0
Stroke among adults3.9%3.4–4.5
All teeth lost among adults aged >=65 years11.3%9.3–13.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.3%5.6–9.4
Taking medicine to control high blood pressure among adults with high blood pressure80.4%77.5–83.0
Visits to doctor for routine checkup within the past year among adults76.4%72.6–79.8
Cholesterol screening among adults86.3%84.2–88.2
Colorectal cancer screening among adults aged 45–75 years68.8%64.0–73.6
Visited dentist or dental clinic in the past year among adults66.6%63.3–70.0
Mammography use among women aged 50-74 years77.5%73.8–80.9
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults18.6%15.6–21.8
Current cigarette smoking among adults16.7%13.5–20.3
No leisure-time physical activity among adults25.2%20.6–30.3
Short sleep duration among adults32.2%26.3–38.9
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults19.0%16.0–22.6
Frequent mental distress among adults14.1%12.4–16.1
Frequent physical distress among adults13.9%12.0–16.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.8%11.0–14.9
Any disability among adults29.9%25.6–34.9
Hearing disability among adults9.2%8.2–10.5
Independent living disability among adults7.9%6.8–9.2
Mobility disability among adults14.4%12.1–17.1
Self-care disability among adults4.1%3.5–4.8
Vision disability among adults4.8%4.1–5.6
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults20.5%17.3–23.9
Food insecurity in the past 12 months among adults11.7%9.3–14.6
Received food stamps in the past 12 months among adults8.1%6.2–10.5
Housing insecurity in the past 12 months among adults9.2%7.5–11.2
Lack of reliable transportation in the past 12 months among adults6.5%5.5–7.6
Loneliness among adults27.7%23.4–32.0
Utility services shut-off threat in the past 12 months among adults6.3%5.2–7.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)ND median (p10–p90)
Poverty rate7.6%10.6% (3.1–25.8%) n=32,3648.0% (1.0–21.4%) n=380
Uninsured 18–6431.3%9.0% (1.5–24.3%) n=32,2866.5% (0.0–19.2%) n=380
No HS diploma (25+)10.5%7.9% (1.8–20.7%) n=32,5056.3% (0.6–13.4%) n=382
Bachelor's or higher (25+)25.3%23.3% (9.2–53.6%) n=32,50524.6% (12.5–41.0%) n=382
Unemployment rate (16+)3.2%3.9% (0.0–9.8%) n=32,2741.1% (0.0–6.5%) n=382
Households without a vehicle0.0%3.9% (0.0–12.5%) n=32,3221.5% (0.0–7.4%) n=379
Broadband subscription63.4%89.3% (75.1–97.1%) n=32,32288.7% (75.3–98.1%) n=379
Housing cost burden (≥30% income)15.5%23.7% (10.6–40.0%) n=32,32215.2% (4.0–28.2%) n=379
Homeownership rate73.2%78.7% (51.7–94.0%) n=32,32283.5% (59.2–98.7%) n=379
Crowded housing (>1 per room)0.0%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 households46.9%53.6% (37.3–74.1%) n=32,08759.3% (40.0–83.3%) n=377
Population 65+30.3%19.4% (10.8–33.6%) n=32,55321.6% (9.1–38.9%) n=383
Median age61.0 yr42.2 yr (33.0–56.3) n=32,29242.9 yr (31.1–60.2) n=381
Median household income$62,188$72,070 ($46,039–$118,707) n=30,318$79,666 ($56,729–$115,391) n=354
Median home value$51,300$222,200 ($100,300–$579,820) n=30,049$159,750 ($88,870–$297,180) n=328
Median gross rent$513$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 birth81.5 yr ± 2.2278.9 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 2.22 years of 81.5, 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