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A county wide service owned and operated by the City of Flandreau. It offers Emergency Medical Services provides a 24-hour Advanced Life Support Ambulance for all City of Flandreau residents and visitors to the City. Provides stand-by services for fires, athletic events, and other community functions. The ambulance team can also provide CPR/First Aid Training, car seat checks, and other community education.

Theatre 605 - formerly known as the Black Hills Playhouse - is an 80-year-old regional theatre company. The summer stock schedule is listed on the website. All shows are located at Custer State Park, operating from June through mid-August. In addition to the historic program in the Park, year-round education programs include touring educational theatre opportunities to communities large and small, summer performing arts camps for students in 5th - 12th grades at the University of South Dakota, and the Expanding Stage programs for people with disabilities in Sioux Falls

Issues enrollment applications, tribal marriage licenses, and prepares certifications of enrollment. Provides services to on and off tribal land via telephone, fax, or email. Records marriages, divorces, births, deaths, adoptions and court ordered name changes. Updates voter lists for tribal elections. Prepares family tree charts upon request. Assists nine districts in maintaining their census lists.

Offers confidential services to all members of the military, veterans, and their families by connecting them with local, state, and national resources. Also provides a free mobile app for Apple and Android devices to connect military, veterans, and their families to resources that can help through both emergency and nonemergency situations. Download the Hero Care app for free in the app store or text "GETHEROCARE" to 90999.

TEFAP (The Emergency Food Assistance Program) food items available. This institution is an equal opportunity provider. Food pantry providing groceries for those who qualify as low-income. Assists with fees for Birth Certificates and State IDs for employment, housing, or school. ​This is ONLY for Pennington County and individuals must have proof of identification (Tribal ID, piece of mail with address, library card, etc.) Church Response does NOT help with rent expense assistance.

​Host's support group meetings for families who are affected by Huntington's Disease. This group reviews caregiver support, discusses genetic testing, care options, and serves as a general sounding board to support one another through the journey of this disease. Support groups are offered face-to-face and on-line. Visit website to find a group.

The Equalization Office assesses all properties in the county for taxation purposes, issues building permits in the county and small towns, is the planning and zoning office for the county, and answers questions pertaining to floodplains.

Provides long-term nursing facility, short-term rehabilitation, assisted living, and independent living care. Nursing facility care provides long-term nursing facility and short-term rehabilitation care with 24/7 personalized nursing care. Services provided include licensed therapies, social and spiritual activities, nutrition program, and care planning. Assisted living services provide a living option for those who want to live independently while benefiting from having access to help with activities of daily living. Services provided include help with daily activities, laundry and housekeeping, home maintenance, medication management, spiritual, wellness, nutrition, and recreational programs. Independent living services provide a living option for individuals looking for maintenance-free living. A variety of services are available that may be included in the monthly fees such as assistance with general housekeeping, maintenance, optional meal programs, scheduled activities, transportation services, wellness programs, social interaction, and nearby staff. Also offers memory care and outpatient rehabilitation services.

Hunting services include hunting license, hunting regulations, public maps, youth hunting education, and TIPs a telephone line to turn in poachers of any violators of wildlife.

Clients receive help with depression, anxiety, behavioral problems, adjustment issues, grief and loss, as well as other mental health issues. An adult outpatient, time-limited, intensive, and coordinated clinical treatment program with the goal of stabilization with the intention of averting inpatient hospitalization or reducing the length of a hospital stay. ​Partial Hospital Program (PHP): Serves as a positive alternative when individual counseling does not fully meet the needs of the individual and when inpatient care is not necessary. 5 days per week, 4 hours per day. Intensive Outpatient Program (IOP): The goal of program is to provide support while promoting independence, growth, individuality and self-reliance. Clients are assisted in learning new and more effective coping skills while remaining in their homes and their jobs. Generally 7 - 11 hours of structured programming per week consisting of counseling and education groups.

The City of Harrisburg Compost Site will accept compost items such as leaves and grass and wood items include trees, tree branches, garden waste, and brush.

Retail pharmacy and a medication disposal site. Services provided are immunizations, medical equipment/supplies, smoking cessation, and pain management. Also sells OTC medications.

Dialysis Centers in Rapid City and Spearfish provide a comfortable environment with high-quality care for patients to undergo dialysis treatment. The dialysis team coordinates closely with nephrologists to ensure patients receive the care they need.

Provides a variety of services including regular check-ups or vaccines, plus care for injuries and illnesses, and management of chronic conditions.

Represents the interests of the state in prosecution of adult and juvenile crime and providing legal advice and representation to the county officials, department heads, and staff. The State's Attorney Office cannot represent private parties or give them legal advice.

Collects payments for the water, sewer, and sanitary (landfill) departments. Also responsible for new customer accounts, payments and collections, water service requests, and water permits.

Point of contact for information for the National Homeless Veteran Call Center, Veterans Justice Outreach, Grant and Per Diem Program, and the HUD VASH Program (which is a voucher program to house veterans). Services provided at local VA's. Call this number to get connected with the local offices.

Provides support, direction and oversight for professionals who are experiencing potentially impairing mental health and substance use related illnesses. Gives assurance, hope, and inspires clients to engage and be successful in the recovery process. Offers services via telehealth.

An independent, nonprofit critical access hospital providing the following services: emergency care, cardiac rehabilitation services, coronary care, diabetes counseling, intensive care, in-patient services, obstetrics/childbirth services, occupational therapy, physical therapy, pulmonary care services, radiology services, respiratory therapy, sleep studies, swing bed program, surgical services, and on-site specialty providers (orthopedics, pain management, cardiology, urology, and audiology).

60's + Dining is a senior congregate meal program that provides a nutritious noon meal which reduces or prevents malnutrition, a major cause of other health problems. The program also provides socialization for the participants, which helps ease the problem of isolation among older persons. Persons who are unable to leave their homes due to illness or frailty may receive a home-delivered meal, while those who are able to travel meet at a congregate site for their meals. Participants in the program are asked to make a donation for the meal, but no one is refused service if unable to do so. Frozen Meal Program available to any client over 60. Quality, balanced, nutritious meals are flash frozen in specialty containers that can be heated in the microwave.

The Adams House, built in 1892, is an elegant Victorian-era home with original contents that chronicles Deadwood's transition from a lawless mining camp to a prosperous and technologically rich metropolitan city.

This office acts as an advocate and provides assistance to military veterans and their dependents in determining eligibility and applying for various federal and state benefits, such as service-connected compensation, non-service connected pension, outpatient and hospital medical treatment, guaranteed home loan certificates, education and on-the-job training benefits, burial benefits, survivor benefits, referral information, as well as many others. Provides transportation to veterans through River Cities Public Transit. Call for information.

General medical and surgical, primary, nursing home, and rehabilitative care. Behavioral health services including addictive disorder services (ADS), compensated work therapy, Residential Post Traumatic Stress (PTSD) program, Mental health intensive case management, inpatient psychiatric services, and outpatient psychiatric services. Gun locks are available through the Suicide Prevention Coordinator.

Provides services for adult patients who have severe and persistent mental illness. The goal is to assist the person in developing skills that will help them live in the least restrictive and most normal setting possible. The programming is designed to help patients develop life skills that will be needed for discharge placement and to restore patients to competency for court.

Building Better Caregivers: workshop designated for family caregivers of people living with dementia, Alzheimer's, brain injury, other conditions that affect memory, and those who can no longer live at home independently. This is a virtual training. Surviving and Thriving Workshop: workshop designed for cancer survivors and caregivers to improve self-management skills. Chronic Disease Self-Management Workshop: workshop designed to improve the self-management skills of people living with ongoing health issues. Chronic Pain Self-Management Workshop: workshop designed to help participants live a healthy life with chronic pain by managing their symptoms. This is a virtual training. Diabetes Self-Management Workshop: workshop designed for people with prediabetes, type 2 diabetes, a family history of diabetes, and caregivers. Walk with Ease Workshop: a 6-week community-based walking program designed to engage participants to maintain a successful waking program. Workshops include health education, stretching, and group or self-guided walking. Enhance Fitness: group exercise program that helps older adults improve strength, balance, flexibility, and cardiovascular health. Tai Chi for Arthritis and Fall Prevention: exercise program designed to improve balance, reduce pain, and lower the risk of falls. Aging Mastery Program (AMP): 10-week program that helps older adults build their own playbook for aging well.