Number of MSPs in France: 3,200 in 2026

How many MSPs are there in France?#

2,237 multi-professional health centers (MSPs) received Assurance maladie payments for 2024. They brought together 42,679 healthcare professionals, according to the Union nationale des caisses d'assurance maladie (UNCAM, France's national union of health insurance funds), as reported by caducee.net.

An MSP is a team of primary care professionals who work together under a shared plan for delivering care. The figure of 2,237 counts MSPs receiving payments, not all MSPs.

The total number of open MSPs is higher. The Direction de la Sécurité sociale counts 2,981 as of December 31, 2025. AVECsanté, the MSP federation, reports 3,088 as of June 30, 2026.

For anyone selling to MSPs, this page brings together their distribution, operating entities, registered openings, and available contact details. It complements our study on the number of doctors in France, which counts practitioners rather than their practice locations.

How many MSPs: the answer depends on your question#

Each public figure counts something different. The table gives you the right one for your question.

In practice: for a sales outreach plan, start with about 3,200 teams, most operated by about 2,450 healthcare professionals' companies. For a public budget, start with the 2,237 MSPs receiving payments. These figures are correct; they count different things.

Who makes purchasing decisions in an MSP?#

Purchasing happens at two levels in an MSP. Each healthcare professional equips their own practice. The MSP's company handles what serves the whole team: coordination, shared tools, and sometimes administrative support or premises.

For a product or service intended for the whole team, check whether the SISA is the right entity to contact. According to Assurance maladie, this status "allows the organization itself to receive payments from Assurance maladie." The payment amount tells you neither how much the MSP purchases nor what budget it has for your product or service. For equipment intended for an individual practice, the healthcare professional often remains the buyer.

MSPs organized as nonprofits make decisions through their boards. The few MSPs managed by a municipality follow public procurement rules.

These targets cannot be added together: the same MSP may fall under several rows. For a shared offer, start by checking the active company's name and its representative. The registry lists a company officer for 656 of the 999 companies we studied; this information alone does not identify the person who chooses your product.

How do you build an MSP prospect list?#

A useful list starts with the FINESS registry, which gives each MSP a number and an address. It does not start with the NAF code (the French activity classification code, also called APE code), which groups MSPs together with doctors' practices. You can also follow our FINESS database guide.

What the registry provides, and what it does not, for its 3,251 MSPs:

In practice: more than 1 in 3 MSPs has no phone number in the registry, and almost none have an email address. For more than 1 in 4 MSPs, the registry's SIRET is not found to be active in Sirene, France's business and business location registry: 542 MSPs list none, 294 list a closed SIRET, and 28 list a SIRET that could not be found. A list based only on active SIRETs excludes these 864 MSPs; a missing ID does not prove that the MSP is closed.

The name alone is not enough either. In the business registry, a company named "maison de santé" or legally organized as a SISA may run an unscheduled care center or an individual practice, or still be at the project stage: of 25 such companies reviewed in municipalities with no MSP in FINESS, 11 did not operate an MSP.

Steps to follow:

1. Find the MSP in the FINESS registry and keep its number and address.
2. Check its website or contact its reception desk to confirm that it operates and whether the team covers several locations.
3. Find the active company in Sirene; do not rely on the name alone or the NAF code alone.
4. For a shared offer, ask who chooses the product and who signs. For an offer aimed at an individual practice, check which healthcare professional buys.
5. Check the public phone number or email address and record the date of that check before launching the campaign.

A qualified list links the MSP to its active company and includes verified public contact details, the identified representative, and the verification date. Missing fields remain flagged.

What makes an MSP: a team, a healthcare plan, and the ARS#

An MSP most often takes the form of a SISA (société interprofessionnelle de soins ambulatoires, an interprofessional outpatient care company). This company must include at least two doctors and one allied health professional among its partners. An allied health professional is a nonphysician care provider, such as a nurse or physical therapist.

The team prepares a care delivery plan, which every member signs, and sends it to the agence régionale de santé (ARS, regional health agency) to keep the agency informed. This plan distinguishes an MSP from a simple shared medical office. Practitioners who share premises without a healthcare plan do not form an MSP.

The code de la santé publique (Article L6323-3) defines it as "a legal entity formed by medical professionals, allied health professionals, or pharmacists." The minimum of two doctors and one allied health professional applies to the SISA (Article L4041-4).

Community health centers (centres de santé) and CPTS (communautés professionnelles territoriales de santé, territorial healthcare professional networks) are two other forms of coordinated care. Neither is included in the MSP count.

The number of MSPs therefore depends on where you draw the line: plan submitted, organization open, or contract signed with Assurance maladie.

Market terms, explained simply

Term	What it is
MSP	Maison de santé pluriprofessionnelle: healthcare professionals from several professions working together under a healthcare plan
SISA	Société interprofessionnelle de soins ambulatoires: the healthcare professionals' company, which can receive Assurance maladie payments on behalf of the team
ACI	Accord conventionnel interprofessionnel (interprofessional contractual agreement): the contract that pays an MSP for coordination, access to care, and information sharing
ARS	Agence régionale de santé: the regional health agency that receives the MSP's healthcare plan
FINESS	National registry of health and social services organizations, maintained by the Agence du numérique en santé
Community health center (centre de santé)	Care facility where healthcare professionals are employees of an operator (municipality, nonprofit, mutual insurer)
CPTS	Communauté professionnelle territoriale de santé: a network of healthcare professionals in an area, with no care facility of its own
PSLA, pôle de santé	Local names for an MSP or an MSP operating across several sites
France Santé	Government label launched in late 2025 for a healthcare option within 30 minutes; it also covers community health centers and individual practices

Why sources report different numbers of MSPs#

The number of MSPs is not a single figure. It depends on the scope, and each source counts its own.

Key figures:

• 2,237 MSPs receiving payments for 2024, according to UNCAM's February 2026 negotiation guidelines.

• 2,251 operating MSPs as of December 31, 2022, and 300 planned, according to the government's June 2023 action plan.

• 2,981 operating MSPs as of December 31, 2025, according to the Direction de la Sécurité sociale, a figure also published by AVECsanté in its May 26, 2026 press release.

• 3,088 established MSPs as of June 30, 2026, according to AVECsanté's about page.

Keep track of both the count date and whether the figure covers MSPs actually receiving payments. Operating MSPs make up the total stock.

MSPs receiving payments have a contract with Assurance maladie, the ACI (accord conventionnel interprofessionnel), and receive payments under it. Organizations with the France Santé label form a third group, which extends beyond MSPs.

Harmonie Santé wrote "more than 2,700" MSPs on June 16, 2025, without an explicit count date. That reference point does not describe the November 2026 market.

An MSP count must be cited with its date and scope.

Between the 2,251 MSPs operating at the end of 2022 and the 2,981 counted at the end of 2025, the stock increased by 730. This is not a count of openings: closures and changes in counting practices also affect the total.

What other sources say

Source	Figure	What it counts	Date
Direction de la Sécurité sociale	2,981	Operating MSPs, target of 4,000 by 2027	December 31, 2025
AVECsanté, MSP federation (press release)	2,981	MSPs, of which 81% have signed the ACI	December 31, 2025
AVECsanté, about page	3,088	Established MSPs	June 30, 2026
Ministère de la Santé, cited by info.gouv.fr	2,501	MSPs	December 31, 2023
Harmonie Santé, mutual insurer	"more than 2,700"	Unspecified	Page dated June 16, 2025
ARS Hauts-de-France	297	Recognized MSPs in the region	January 2026
FINESS registry, counted by Scalon	3,251	Open "maison de santé" records	November 9, 2026

These figures are accurate for what they count: they refer to different dates and sometimes different scopes.

The FINESS registry counts slightly more than other sources#

We reconstructed the FINESS registry's status at each date from its records' opening and closure dates. It consistently counts a few percent more than the published figure.

The government's figure comes from the observatoire des recompositions, reprocessed by the direction générale de l'offre de soins (DGOS, France's directorate general for healthcare provision), whose rules are not published. The registry, meanwhile, lists open records.

Are these defunct records? Mostly, no. Of 100 MSPs randomly selected from the registry and reviewed twice by Scalon, 97 operate, one is still in the planning stage, and the status of two could not be determined. The registry is therefore not inflated with closed records.

At the regional level, the registry closely matches the ARS. In January 2026, ARS Hauts-de-France reports 297 recognized MSPs; the registry lists 304 as of January 31, 2026, with identical counts in four of the region's five départements (French administrative areas): Aisne 34, Oise 20, Pas-de-Calais 75, and Somme 42. Only Nord differs, 133 versus 126.

We also searched the business registry for active MSP companies (SISA) with no link to a FINESS record: 992 have an open headquarters location. We reviewed 50 of them. The 25 located in a municipality that already has an MSP in FINESS operate that same MSP, except for one that remained uncertain. Of the other 25, 3 operate an MSP absent from FINESS; the others operate an MSP already registered in a neighboring municipality, an unscheduled care center, an individual practice, or a project.

In practice: about 3,200 MSPs operate in November 2026. That is the registry minus its few nonoperating records, plus the few MSPs not yet listed.

The six levels of this study#

The study distinguishes MSP scope, operating entity, Assurance maladie contract, size, location, and registry entries. These views use different sources and dates; they do not all represent successive shares of the same total.

The tables in levels 2 and 5 describe the 3,251 MSPs in the FINESS registry of November 9, 2026, with a Share column and a Total row. The estimate of 3,200 operating MSPs adjusts this total nationally; we have not applied that adjustment to each region or operating entity.

Level 1. Coordinated care: MSPs, community health centers, and CPTS#

At the end of 2025, the Direction de la Sécurité sociale counts 2,981 MSPs, 729 community health centers (centres de santé), and 829 CPTS in its monitoring of coordinated care.

The FINESS registry, meanwhile, counts 3,598 open community health centers as of November 9, 2026. This scope is broader than the government's: it includes dental, nursing, and specialized care centers.

CPTS are not care facilities: they are networks of healthcare professionals in an area. They therefore cannot be compared with MSPs.

For a supplier, MSPs and community health centers are two distinct customer groups. The former bring together a team of self-employed healthcare professionals; the latter are managed by a municipality, mutual insurer, or nonprofit. Our study on the number of hospitals in France covers healthcare facilities.

Level 2. Who operates the MSP: a healthcare company or nonprofit#

In the registry, the 3,251 MSPs have 3,245 different operators: only 6 manage two. Among the 1,000 MSPs analyzed, we found no shared operator by comparing their websites, email addresses, or companies. The 17 names used by at least 8 of them are generic ("multidisciplinary health center," "health hub," "nursing practice"): none is a chain name.

The share of MSPs outside chains, franchises, or groups and memberships in purchasing groups are not measured here. At least one network exists: Assurance maladie de Paris lists one MSP, the multisite IPSO Paris, and Ipso describes itself as a network of medical practices. An appointment platform shared by many MSPs does not make them a network: it is a tool. The useful question for a seller lies elsewhere: who operates the MSP, and who signs?

In practice: two in three MSPs are registered under their healthcare professionals' company, one in four under a nonprofit. An MSP managed by a municipality is an exception.

The operating entity varies little with municipality size: the share of SISA ranges from 63.3% in municipalities with fewer than 2,000 residents to 71.9% in those with 5,000 to 19,999.

Operating entity and phone availability by municipality size

Municipality size	SISA	Nonprofit	Other	Share of SISA	Share with a phone number in the registry
Fewer than 2,000 residents	553	257	64	63.3%	69.9%
2,000 to 4,999	635	276	35	67.1%	63.1%
5,000 to 19,999	535	196	13	71.9%	59.7%
20,000 to 99,999	294	122	6	69.7%	59.2%
100,000 and over	183	75	7	69.1%	67.5%
Total	2,200	926	125	67.7%	64.0%

Some MSPs have several sites: 45 registry records have "multisite" in their name, and 89 of the 2,518 MSP companies in the business registry have several open locations. A single contact may therefore cover two or three locations.

The segment that matters to a seller: healthcare professionals' companies (SISA)#

The registry does not always identify which company currently operates the MSP. For 480 records registered as nonprofits, the business registry contains an active SISA in the same municipality, with no direct link by ID number. By matching the two registries and reviewing 50 companies individually, we estimate that about 2,450 active SISA operate an MSP. This number counts companies, which may cover several sites; it does not count distinct teams or buyers. The calculation and its limitations appear in the method.

This segment matters to sellers of shared offers: only the SISA allows an MSP to receive Assurance maladie payments in the organization's name. It overlaps with the number of MSPs that have signed the agreement with Assurance maladie, about 2,430 in 2024 (level 3).

Level 3. The contract with Assurance maladie#

The ACI pays for coordination work by MSPs under contract. For 2024, Assurance maladie paid 2,237 MSPs, or 92% of those that had signed the agreement, according to UNCAM. About 2,430 MSPs had therefore signed.

Payments totaled €181.4 million for 2024, according to caducee.net's reporting. That works out to about €81,000 per MSP receiving payments, on average.

This €81,000 is an average annual payment for 2024, separate from the healthcare professionals' income. This figure gives neither a particular MSP's purchasing budget nor the amount it can spend on your offer.

The 42,679 professionals in MSPs receiving payments, by profession

Profession	Professionals
Nurses	12,729
General practitioners	10,142
Physical therapists	6,061
Pharmacists	3,328
Other professions (midwives, podiatrists, speech-language pathologists, dietitians…)	10,419
Total	42,679

Source: UNCAM negotiation guidelines, February 2026.

In practice: an MSP receiving payments brings together about 19 healthcare professionals, including 4 to 5 general practitioners and 5 to 6 nurses, on average.

Level 4. The size of an MSP#

An MSP has about 17 professionals on average: about 52,000 professionals across 2,981 MSPs at the end of 2025, according to AVECsanté and Assurance maladie.

The MSP's company employs few people. Among the 1,000 MSPs analyzed, 279 company locations have an employee headcount range listed in the business registry: 201 have 1 or 2 employees, and 70 have 3 to 5. These headcounts do not include self-employed healthcare professional partners. A SISA may also employ salaried healthcare professionals, fewer in number than its self-employed partners (Article L4041-4).

MSPs are young. Of 997 company locations checked in the business registry, half were created less than 5 and a half years ago, and more than 1 in 4 less than three years ago.

Level 5. Where are MSPs located?#

The registry counts 4.7 MSPs per 100,000 residents in France. Their distribution varies widely by region and municipality size. These differences describe where to prospect; they do not, by themselves, measure doctor shortages.

Chart data and number of MSPs by region

Region	MSPs	Share	Per 100,000 residents
Auvergne-Rhône-Alpes	498	15.3%	6.1
Occitanie	391	12.0%	6.4
Nouvelle-Aquitaine	371	11.4%	6.0
Hauts-de-France	323	9.9%	5.4
Grand Est	266	8.2%	4.8
Île-de-France	241	7.4%	1.9
Bretagne	215	6.6%	6.2
Normandie	193	5.9%	5.8
Bourgogne-Franche-Comté	191	5.9%	6.8
Provence-Alpes-Côte d'Azur	174	5.4%	3.3
Pays de la Loire	153	4.7%	3.9
Centre-Val de Loire	146	4.5%	5.6
Corse	24	0.7%	6.8
Overseas territories (Réunion 28, Guadeloupe 14, Martinique 12, Guyane 6, Mayotte 5)	65	2.0%	3.0
Total	3,251	100%	4.7

Shares are rounded to the nearest tenth; their sum may differ slightly from 100%.

Île-de-France has fewer than 2 MSPs per 100,000 residents, less than a third of Bourgogne-Franche-Comté's rate. By département, Ariège has 13.5 per 100,000, Meuse 12.8, and Aveyron 12.2; Yvelines has 1.5, Hauts-de-Seine 1.6, and Bas-Rhin 1.9.

Municipality size makes the pattern even clearer.

Chart data

Municipality size	MSPs	Share	Per 100,000 residents of these municipalities
Fewer than 2,000 residents	874	26.9%	5.8
2,000 to 4,999	946	29.1%	9.3
5,000 to 19,999	744	22.9%	4.6
20,000 to 99,999	422	13.0%	2.5
100,000 and over	265	8.2%	2.6
Total	3,251	100%	4.7

Shares are rounded to the nearest tenth; their sum may differ slightly from 100%.

More than one in two MSPs (1,820 out of 3,251) is in a municipality with fewer than 5,000 residents. Towns with 2,000 to 5,000 residents have 9.3 per 100,000, twice the average. For a sales rep, this is a market for sales routes outside major cities, rather than downtown appointments.

MSPs by département (per 100,000 residents)

The ten départements with the highest density: Ariège 13.5; Meuse 12.8; Aveyron 12.2; Alpes-de-Haute-Provence 11.9; Lozère 11.8; Hautes-Alpes 11.2; Vosges 10.6; Ardennes 10.5; Cantal 10.4; Lot 10.2.

The ten with the lowest density: Yvelines 1.5; Hauts-de-Seine 1.6; Bas-Rhin 1.9; Seine-Saint-Denis 1.9; Mayotte 1.9; Haut-Rhin 1.9; Val-de-Marne 2.0; Seine-et-Marne 2.0; Val-d'Oise 2.0; Guyane 2.0.

By count, Nord has the most (145), ahead of Rhône (109), Isère and Pas-de-Calais (79 each), Haute-Garonne (72), and Ille-et-Vilaine (71).

Level 6. How many MSPs open each year?#

From 2018 to 2025, the registry records between 215 and 285 MSP registrations per full year. It records 140 as of November 9, 2026. Recorded closures total 36 in 2025 and 11 as of that date in 2026.

Chart data, openings, and closures by year

Year	Open as of December 31	Registrations during the year	Closures during the year
2018	1,538	216	16
2019	1,767	270	41
2020	1,987	235	15
2021	2,186	215	16
2022	2,409	241	18
2023	2,670	285	24
2024	2,925	273	18
2025	3,122	233	36
2026 (as of November 9)	3,251	140	11

Open as of December 31 from 2012 to 2017: 554, 720, 867, 1,009, 1,172, 1,338.

The business registry shows the same momentum. It counts 2,518 active MSP companies (SISA) as of September 24, 2026, including 302 created in 2024 and 278 in 2025.

To track new teams, monitor registry entries, then check the actual start date with the MSP. Our series measures administrative registrations; it does not say when the team chooses its tools or how much it spends.

Counting MSPs in Sirene: which NAF code, date, and scope#

Sirene is the registry maintained by Insee (France's national statistics office) that lists businesses and their locations. The NAF code classifies each location's main activity. It describes a profession, not an organizational form.

No code is called MSP: none of the 732 subclasses in Insee's NAF classification names MSPs.

Sirene registry, September 24, 2026: 2,518 active sociétés interprofessionnelles de soins ambulatoires (SISA), including 2,300 under code 86.21Z (general medical practice). Their legal form, rather than their code, identifies them: Insee gives it its own legal category (6511).

Business directories classify most MSP SISA under 86.21Z, the code for general practitioners. Others appear under 86.90F or 86.10Z.

We checked this in Sirene: of the 2,387 FINESS records whose SIRET was found to be active, 1,538, or 64.4%, fall under 86.21Z. The others are mostly nonprofits (codes 94.12Z and 94.99Z).

NAF codes of the 2,387 active locations linked to MSPs

Location's NAF code	Insee description	MSPs	Share
86.21Z	General medical practice	1,538	64.4%
94.12Z and 94.99Z	Professional membership organizations, other voluntary membership organizations (nonprofits)	365	15.3%
86.90F	Other human health activities not elsewhere classified	90	3.8%
66.19A	Legal entities for managing movable assets	90	3.8%
88.99B	Other social work activities without accommodation not elsewhere classified	87	3.6%
86.10Z	Hospital activities	80	3.4%
Other codes		137	5.7%
Total		2,387	100%

Before building a count, check each entity's code on its Sirene registration record. Code 86.21Z alone does not distinguish an MSP's SISA from a general medical practice.

A Sirene count reflects the date of the registry snapshot used. It answers a market question: how many. It is not a prospect list, which names and qualifies each location.

Nor does it replace the Assurance maladie count. The registry, the insurer, and the ministry count three different things.

On January 1, 2027, the new classification replaces 86.21Z with 86.21Y, "General medical practice"; our NAF 2025 code guide details this transition.

The target of 4,000 MSPs in 2027 and the France Santé label#

The government's June 2023 action plan targets 4,000 MSPs by 2027. The available excerpts do not specify whether the target covers operating or planned MSPs.

The Direction de la Sécurité sociale reiterates the target of 4,000 MSPs by 2027. Its end-of-2025 count remains 1,019 below that target. The number of MSPs receiving payments does not measure this progress.

Our indicative calculation: even at the highest rate observed in the registry since 2018, 285 registrations per year, it would contain fewer than 3,600 records at the end of 2027.

The France Santé label makes the picture harder to read. It carries the government's promise of a healthcare option within 30 minutes. On October 30, 2025, the government announced 2,000 labeled organizations by summer 2026, then 5,000 in 2027.

This label extends beyond MSPs: community health centers and medical practices are also included. These 5,000 organizations are not 5,000 MSPs.

As of August 4, 2026, 1,443 organizations had received the label, according to the Prime Minister as quoted by Egora: the 2,000 milestone had not been reached.

Frequently asked questions about MSPs in France#

How many MSPs are there in France in 2026?#

About 3,200 MSPs operate in November 2026, according to our count. The FINESS registry lists 3,251 as of November 9, 2026. The AVECsanté federation reports 3,088 as of June 30, 2026, and the Sécurité sociale 2,981 as of December 31, 2025.

How many MSPs are there per region?#

Auvergne-Rhône-Alpes has the most (498), ahead of Occitanie (391) and Nouvelle-Aquitaine (371). Relative to population, Bourgogne-Franche-Comté and Corse have the highest density, with 6.8 MSPs per 100,000 residents; Île-de-France has the lowest density in mainland France (1.9).

How many professionals work in an MSP?#

About 17 on average, according to AVECsanté and Assurance maladie. The 2,237 MSPs receiving payments in 2024 brought together 42,679 professionals, or about 19 each.

How many MSPs have signed the ACI?#

About 2,430 in 2024: UNCAM paid 2,237 MSPs, or 92% of signatories.

Which NAF code applies to an MSP?#

No description in the NAF classification names MSPs. Of the 2,387 FINESS records whose SIRET was found to be active, 64.4% are classified under 86.21Z, the code for general practitioners, which becomes 86.21Y on January 1, 2027.

Method#

The headline figure comes from the FINESS registry of November 9, 2026, reviewed using 100 randomly selected records and supplemented with MSPs absent from FINESS found in the business registry.

Detailed method and limitations

Counting unit. An MSP is a record in the FINESS registry's "Maison de santé (L.6223-3)" category (code 603) ("FINESS - Structures" data feed from the Agence du numérique en santé, daily file for November 9, 2026), open and with no closure date: 3,251 records. The registry's description refers to Article L6323-3 of the code de la santé publique.

Quality check and most likely total. Scalon randomly selected 100 of the 3,251 records (seed 20261109) and had them checked twice, independently, on the public web (MSP website, public location listings, ARS, municipality, local press): once by Claude Opus 5.5 (Anthropic), once by GPT-6.1 (OpenAI). The two reviews reached the same verdict for 91 records out of 100; Scalon resolved the other 9 using the cited evidence. Result: 97 operating MSPs, 1 planned, 2 unresolved. Measured registry error: 1 of 98 resolved records is not operating (1%), at most 6% at 95% confidence.

The two reviews also checked 50 SISA companies active in the business registry (Sirene snapshot of September 24, 2026) with no ID number link to a FINESS record: 25 selected from the 70 whose municipality has no MSP in FINESS, 25 from the 922 whose municipality has one. They agreed 32 times out of 50; disagreements mainly concerned MSPs already registered in a neighboring municipality and unscheduled care centers. An unscheduled care center is classified by its organization and healthcare plan: without evidence, it remains uncertain. Resolved results: 3 MSPs absent from FINESS out of 21 in the first stratum, 0 out of 24 in the second.

The likely total is 3,251 × the share of operating records (97 out of 98), plus 70 and 922 × the share of companies operating an MSP absent from FINESS, with uncertain cases distributed like the others: 3,228, rounded to 3,200. Taking the lower and upper bounds of each share (95% Wilson intervals), it remains between 3,074 and 3,397. These bounds do not cover MSPs absent from FINESS operated through a form other than a SISA, or the 13 SISA for which no open headquarters location was found.

Buyer segment. Active SISA operating an MSP, counted as companies: the 1,513 active SISA linked by their ID number to a FINESS record (3 of them to two records), × the share of operating records, plus 70 and 922 companies outside FINESS × the share operating an MSP (10 out of 21 and 24 out of 24 resolved cases): 2,453, between 2,244 and 2,480, rounded to 2,450. The 31 reviewed companies linked to an already registered MSP refer to 31 distinct records with no active SISA linked by ID number: no overlap observed in this sample. A company may cover several sites; this number does not count distinct teams.

Comparison with published figures. The registry's status at a given date counts records open on that date and not closed before it. Records deleted from the registry no longer appear: older counts are slightly underestimated.

Operating entity. Legal status of the legal entity for each FINESS record. Operators are counted by legal entity FINESS number. The 480 nonprofit records with a SISA in their municipality: an active SISA in the business registry, with no ID number link, whose headquarters is in the same municipality; this proximity alone does not prove a connection.

Sirene registry. Insee snapshots of September 24, 2026 (legal entities and locations): status, NAF code, creation date of the SIRETs in the FINESS records; all legal entities in legal category 6511 (société interprofessionnelle de soins ambulatoires). Code descriptions: NAF rev. 2 classification (732 subclasses) and Insee's crosswalk to NAF 2025.

Structure, size, and company officers. Review of Scalon's database on November 9, 2026, covering 1,000 of the records' 2,386 active SIRETs, selected by hash (reproducible): shared websites and email addresses, shared companies, names used by several locations, employee headcount ranges, and company officers listed in the business registry.

Geography. Municipalities in the FINESS registry; administrative districts in Paris, Lyon, and Marseille assigned to their city. Official municipal population counts served by the government's API Géo (geo.api.gouv.fr), read on November 9, 2026 (68,952,941 residents). Density is the number of MSPs per 100,000 residents.

Hauts-de-France. ARS Hauts-de-France maps from January 2026 (297 MSPs) and September 2025 (287); registry as of January 31, 2026 (304) and September 30, 2025 (291).

What we do not measure. The number of professionals per MSP (figures from UNCAM, Assurance maladie, and AVECsanté); revenue, which SISA almost never publish; the ACI amount per MSP, calculated as an average from the published total; memberships in purchasing groups.

Key takeaways#

• About 3,200 MSPs operate in November 2026; the FINESS registry lists 3,251, and 97 of 100 reviewed operate.
• About 2,450 healthcare professionals' companies (SISA) operate an MSP: for a teamwide offer, check who chooses the product and who signs.
• More than one in two MSPs is in a municipality with fewer than 5,000 residents: plan sales routes outside major cities.
• Check each MSP before contacting it: more than 1 in 3 has no phone number in the registry, and more than 1 in 4 has no SIRET found to be active.

Cite this study#

Full citation, including counts

Scalon Observatory, "Number of MSPs in France: 3,200 in 2026," November 9, 2026: about 3,200 multi-professional health centers operating in France, including overseas territories; 3,251 in the FINESS registry of November 9, 2026, including 97 operating MSPs out of the 100 reviewed; about 2,450 active SISA operating one; 1,820 in a municipality with fewer than 5,000 residents; 2,518 active SISA in the Sirene registry of September 24, 2026. https://scalon.fr/en/observatory/number-of-msp-in-france

Sources#

• Développer l'exercice coordonné en ville (maisons et centres de santé et CPTS), Direction de la Sécurité sociale, accessed November 9, 2026
• Orientations de négociation France Santé, UNCAM, February 2026, pp. 3 and 6 (public APMnews copy)
• ACI MSP : France Santé entre dans la mécanique financière des maisons de santé, caducee.net, June 10, 2026
• Plan d'action pour 4 000 maisons de santé pluriprofessionnelles, Gouvernement, June 2023, pp. 4 and 13 (public copy)
• Séance d'ouverture des négociations France Santé et ACI MSP, Assurance maladie (Cnam), February 26, 2026, p. 23 (public copy)
• Communiqué AVECsanté, May 26, 2026, p. 2
• Qui sommes-nous, AVECsanté, accessed November 9, 2026
• 5 000 maisons « France santé » d'ici à 2027, info.gouv.fr, September 15, 2025
• France Santé, un réseau pour rapprocher les soins des Français, info.gouv.fr, October 30, 2025
• France santé : plus de 1 400 structures labellisées, mais l'objectif n'est pas atteint, Egora, August 12, 2026
• Maisons de santé, maisons de garde, centres de santé : quelles sont leurs différences ?, Harmonie Santé, June 16, 2025
• Maisons de santé pluriprofessionnelles, January 2026 map, ARS Hauts-de-France
• Article L6323-3 du code de la santé publique, Légifrance
• Article L4041-4 du code de la santé publique, version effective since December 29, 2023, Légifrance
• Quelles sont les structures de santé concernées par l'accord conventionnel interprofessionnel ?, Assurance maladie, accessed November 9, 2026
• FINESS - Structures, Agence du numérique en santé, data.gouv.fr, November 9, 2026 file
• Base Sirene des entreprises et de leurs établissements, Insee, September 24, 2026 snapshot
• Catégories juridiques, Insee, category 6511
• Rapport annuel 2024, Assurance maladie de Paris, p. 11
• Qui sommes-nous, Ipso
• Nomenclature NAF rév. 2 et table de passage vers la NAF 2025, Insee