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ND

North Dakota

ESOEffective date unknown
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Agencies
129
Facilities
410
Required Elements
570
Custom Elements
0
Surveillance
0/4

Surveillance Capabilities

0/4 tracked

Opioid Incident Tracking

NOT TRACKED

State captures whether EMS incidents are opioid-related

Naloxone Administration

NOT TRACKED

State tracks pre-arrival naloxone administration

Trauma Activation

NOT TRACKED

State captures trauma activation level (Red/Yellow/No activation)

Homeless Patient Status

NOT TRACKED

State tracks patient homeless status at time of call

Population & Density

Population
783,926
Agencies per 100k
16.46
#9 of 51 states
Pop. Density
11.4/sq mi
Land Area
68,976 sq mi
Source: US Census Bureau ACS 2023

Healthcare Access

Primary Care Shortage
High
15.5
123 designated areas
Mental Health Shortage
Moderate
14.5
98 designated areas
Severity score (0-25) is the key comparison metric. Area counts vary by state size and include geographic, population-based, and facility designations.
Source: HRSA Bureau of Health Workforce 2024

Medicare Reimbursement (2025)

Ranked #20 of 51 states
ALS1
$540.66
BLS
$284.56
SCT
$924.82
View full reimbursement data

EMS Wages

Compare all states
Paramedic Median#20 of 50
$59,950/year
180 employed
EMT Median#38 of 51
$37,670/year
1,270 employed
Source: BLS OEWS May 2024

Custom Elements

This state uses only standard NEMSIS elements

No custom elements have been defined

Formulary

69 total medications across 1 cert levels

69

Medications

—

Procedures

Certification Level

First Responder

Note: Medication codes are stored as RxNorm/SNOMED codes. Drug name resolution coming in a future update.

Agencies

129 registered agencies

Almont Ambulance Service

001

Altru Care Flight

609

Altru Health System Ambulance Service

048

Ambulance Service, Inc.

018

Ashley Ambulance Service

003

Avera - Careflight

601

Barnes County / City Ambulance

125

Belcourt Ambulance Service

143

Belfield Ambulance Service Inc.

005

Berthold Ambulance Service Inc.

006

Billings County Ambulance Service

084

Bismarck Air Medical, LLC

614

Black Hills Life Flight

605

Bottineau Ambulance Service

014

Bowbells Ambulance Service

015

Bowdon Ambulance Service

016

Bowman Ambulance Squad Inc/SW Healthcare Services

017

Carrington Health Center Ambulance

021

Casselton Ambulance Service, Inc.

023

Cavalier Ambulance Service, Inc.

024

Facilities

410 registered facilities across 7 types

Required Elements

570 required elements across 34 sections