Montana · data as of October 7, 2026
Montana addiction treatment deserts
608,138 Montana residents live 30+ miles from medical detox, 53% of the state. 27 of 56 counties have no treatment program of any kind inside the county line. For methadone the number is 601,593 people (53%).
608,138people 30+ mi from detox
601,593people 30+ mi from methadone
27counties with no program
#1of 51 (#1 = worst detox access)
Longest trips
- The county farthest from detox is Valley County, about 145 mi from Bullhook Community Health Center Inc in Havre.
- The longest trip to a methadone clinic is from Hill County: about 198 mi to Billings, MT.
- 48 of 56 counties are more than 30 miles from medical detox; 52 are more than 30 miles from a methadone clinic.
- 45 counties are more than 15 miles from any listed buprenorphine (Suboxone) provider.
Counties farthest from medical detox
| County | Population | Miles | Nearest detox |
|---|---|---|---|
| Valley County | 7,434 | 145 mi | Bullhook Community Health Center Inc, Havre MT |
| Carter County | 1,399 | 130 mi | Buffalo Plains Recovery, Rapid City SD |
| Garfield County | 1,181 | 129 mi | Rimrock, Billings MT |
| Custer County | 11,964 | 126 mi | Volunteers of America, Sheridan WY |
| Daniels County | 1,625 | 120 mi | Providence House LLC, Arnegard ND |
| Prairie County | 1,112 | 110 mi | Providence House LLC, Arnegard ND |
| McCone County | 1,717 | 107 mi | Providence House LLC, Arnegard ND |
| Fallon County | 2,946 | 104 mi | Providence House LLC, Arnegard ND |
| Glacier County | 13,503 | 103 mi | Rmtc Llc, Great Falls MT |
| Park County | 18,074 | 97 mi | Montana Chemical Dependency Ctr, Butte MT |
| Flathead County | 114,527 | 96 mi | Providence St Patrick Hospital, Missoula MT |
| Fergus County | 11,862 | 93 mi | Rmtc Llc, Great Falls MT |
| Roosevelt County | 10,197 | 90 mi | Providence House LLC, Arnegard ND |
| Sheridan County | 3,448 | 87 mi | Providence House LLC, Arnegard ND |
| Lincoln County | 22,184 | 87 mi | Kootenai Health Inc, Coeur d Alene ID |
Counties farthest from a methadone clinic
| County | Population | Miles | Nearest OTP |
|---|---|---|---|
| Hill County | 16,065 | 198 mi | Community Medical Services- Billings, Billings MT |
| Valley County | 7,434 | 196 mi | Community Medical Services- Billings, Billings MT |
| Carter County | 1,399 | 195 mi | Heartview Foundation, Bismarck ND |
| Daniels County | 1,625 | 192 mi | Community Medical Services, Minot ND |
| McCone County | 1,717 | 187 mi | Community Medical Services- Billings, Billings MT |
| Blaine County | 6,903 | 185 mi | Community Medical Services- Billings, Billings MT |
| Phillips County | 4,214 | 183 mi | Community Medical Services- Billings, Billings MT |
| Roosevelt County | 10,197 | 181 mi | Community Medical Services, Minot ND |
| Dawson County | 8,731 | 177 mi | Community Medical Services- Minot, Minot ND |
| Prairie County | 1,112 | 173 mi | Community Medical Services- Billings, Billings MT |
| Fallon County | 2,946 | 170 mi | Heartview Foundation, Bismarck ND |
| Wibaux County | 911 | 160 mi | Community Medical Services- Minot, Minot ND |
| Chouteau County | 5,880 | 154 mi | Community Medical Services- Bozeman, Belgrade MT |
| Liberty County | 1,934 | 153 mi | Community Medical Services- Kalispell, Kalispell MT |
| Sheridan County | 3,448 | 150 mi | Community Medical Services, Minot ND |
Using these numbers
Free to republish with a link to this page. Download the Montana county CSV or the full U.S. dataset.
FindRehabMap, "Montana addiction treatment deserts", 2026. https://findrehabmap.com/montana/treatment-deserts/
Want one county on your page? Use the embed card. For a cut by legislative district or a different mileage cutoff, email [email protected].
Method
Program locations: SAMHSA FindTreatment.gov. Population centers (2020) and population estimates (2024): U.S. Census Bureau. Distances are straight-line from each county's population center; real driving distances are longer. See the full methodology.