Good health is a precondition for socio-political and economic development of any nation. The study aim at assessing the spatial distribution of health care facilities in Adamawa State, Nigeria. The research will be of use to the health sector such as health workers, medical personnel, and international organizations such as UNISEF, UNO, WHO, NGO’S and stakeholders alike. The research employs the use of primary and secondary data. The Research Instrument used is survey questionnaires and Focused Group Discussion alongside Purposive interview. The study population is made up of all the health centers in the 21 Local Governments   areas of Adamawa State. The results show the distribution of health facilities across Adamawa State is markedly uneven, reflecting broader patterns of urban-rural disparity. The study recommends that Building of new modern health centers that will cater for the need of the people and the renovation of old ones. Strategic investment in infrastructure, particularly in rural areas, is essential to ensure that health centers are fully functional and accessible all the year-round.