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Virginia’s Rural Communities

Virginia’s RHT Program uses the definition of rural established by the Health Resources and Services Administration (HRSA) Federal Office of Rural Health Policy.

  • 76 localities across the Commonwealth are designated as rural under this definition
  • All RHT-funded programs are designed to serve individuals and communities within these areas

For more information about defining rurality, please visit VDH’s resource.

Virginia Beach City — Non-ruralNorfolk City — Non-ruralPortsmouth City — Non-ruralSuffolk City — Non-ruralIsle of Wight County — Non-ruralSurry County — Southside region (rural)Prince George County — Non-ruralHopewell City — Non-ruralChesterfield County — Non-ruralCharles City County — Non-ruralJames City County — Non-ruralNewport News City — Non-ruralHampton City — Non-ruralPoquoson City — Non-ruralYork County — Non-ruralNew Kent County — Non-ruralKing William County — Eastern Shore and Northern Neck region (rural)King and Queen County — Eastern Shore and Northern Neck region (rural)Gloucester County — Eastern Shore and Northern Neck region (non-rural)Mathews County — Eastern Shore and Northern Neck region (rural)Middlesex County — Eastern Shore and Northern Neck region (rural)Essex County — Eastern Shore and Northern Neck region (rural)Caroline County — Eastern Shore and Northern Neck region (rural)King George County — Eastern Shore and Northern Neck region (rural)Westmoreland County — Eastern Shore and Northern Neck region (rural)Richmond County — Eastern Shore and Northern Neck region (rural)Lancaster County — Eastern Shore and Northern Neck region (rural)Northumberland County — Eastern Shore and Northern Neck region (rural)Stafford County — Non-ruralPrince William County — Non-ruralFairfax County — Non-ruralAlexandria City — Non-ruralArlington County — Non-ruralAccomack County — Eastern Shore and Northern Neck region (rural)Northampton County — Eastern Shore and Northern Neck region (rural)Buchanan County — Southwest region (rural)Dickenson County — Southwest region (rural)Wise County — Southwest region (rural)Lee County — Southwest region (rural)Washington County — Southwest region (non-rural)Scott County — Southwest region (non-rural)Bristol City — Southwest region (non-rural)Frederick County — Shenandoah Valley region (non-rural)Clarke County — Shenandoah Valley region (rural)Shenandoah County — Shenandoah Valley region (rural)Loudoun County — Non-ruralRockingham County — Shenandoah Valley region (non-rural)Augusta County — Shenandoah Valley region (non-rural)Highland County — Shenandoah Valley region (non-rural)Giles County — Roanoke/Alleghany region (non-rural)Craig County — Roanoke/Alleghany region (rural)Alleghany County — Roanoke/Alleghany region (rural)Bath County — Shenandoah Valley region (rural)Tazewell County — Southwest region (rural)Bland County — Southwest region (rural)Patrick County — Southside region (rural)Carroll County — Southwest region (rural)Grayson County — Southwest region (rural)Chesapeake City — Non-ruralSouthampton County — Southside region (rural)Greensville County — Southside region (rural)Brunswick County — Southside region (rural)Mecklenburg County — Southside region (rural)Halifax County — Southside region (rural)Pittsylvania County — Southside region (rural)Danville City — Southside region (rural)Henry County — Southside region (rural)Amelia County — Southside region (rural)Dinwiddie County — Southside region (rural)Nottoway County — Southside region (rural)Prince Edward County — Southside region (rural)Cumberland County — Southside region (rural)Powhatan County — Non-ruralAmherst County — Non-ruralAppomattox County — Southside region (rural)Campbell County — Southside region (rural)Lynchburg City — Non-ruralBedford County — Non-ruralRockbridge County — Shenandoah Valley region (rural)Nelson County — Northern Piedmont region (rural)Charlotte County — Southside region (rural)Buckingham County — Southside region (rural)Pulaski County — Roanoke/Alleghany region (rural)Wythe County — Southwest region (rural)Smyth County — Southwest region (rural)Botetourt County — Roanoke/Alleghany region (non-rural)Roanoke County — Roanoke/Alleghany region (rural)Lunenburg County — Southside region (rural)Russell County — Southwest region (rural)Albemarle County — Northern Piedmont region (non-rural)Fluvanna County — Northern Piedmont region (rural)Hanover County — Non-ruralSpotsylvania County — Non-ruralGalax City — Southwest region (non-rural)Floyd County — Southside region (rural)Henrico County — Non-ruralRichmond City — Non-ruralPetersburg City — Non-ruralColonial Heights City — Non-ruralFauquier County — Northern Piedmont region (rural)Warren County — Shenandoah Valley region (rural)Montgomery County — Roanoke/Alleghany region (rural)Culpeper County — Northern Piedmont region (rural)Orange County — Northern Piedmont region (rural)Madison County — Northern Piedmont region (rural)Rappahannock County — Northern Piedmont region (rural)Goochland County — Non-ruralSussex County — Southside region (rural)Franklin County — Roanoke/Alleghany region (rural)Louisa County — Non-ruralGreene County — Northern Piedmont region (rural)Page County — Shenandoah Valley region (rural)Franklin City — Southside region (non-rural)Williamsburg City — Non-ruralRadford City — Roanoke/Alleghany region (non-rural)Fredericksburg City — Non-ruralBuena Vista City — Shenandoah Valley region (non-rural)Charlottesville City — Northern Piedmont region (non-rural)Covington City — Roanoke/Alleghany region (non-rural)Emporia City — Southside region (non-rural)Fairfax City — Non-ruralFalls Church City — Non-ruralHarrisonburg City — Shenandoah Valley region (non-rural)Manassas City — Non-ruralManassas Park City — Non-ruralMartinsville City — Southside region (rural)Norton City — Southwest region (non-rural)Roanoke City — Roanoke/Alleghany region (non-rural)Salem City — Roanoke/Alleghany region (non-rural)Staunton City — Shenandoah Valley region (non-rural)Waynesboro City — Shenandoah Valley region (non-rural)Winchester City — Shenandoah Valley region (non-rural)Lexington City — Shenandoah Valley region (non-rural)Virginia's Rural Regionsper Virginia DMAS / FORHP designationsruralnon-ruralEastern Shore and Northern NeckNorthern PiedmontRoanoke/AlleghanyShenandoah ValleySouthsideSouthwestNon-rural (outside rural regions)Hover over a county or city for details.