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Responsible for maintaining and managing the county's road and bridge network, ensuring safe and efficient transportation for residents and visitors. This includes tasks like road construction, pavement rehabilitation, snow and ice removal, bridge maintenance, and traffic control.

The County Extension Office is the base of the 4-H Youth Program Advisor. It provides youth development education via the South Dakota 4-H program and other youth enrichment learning experiences at the community level as well as information including fact sheets, feature articles, podcasts, webinars and more is accessible to constituents through website www.igrow.org.

Offers the following: books, audio books, movies, music CDs, library tours, meeting rooms, art displays, consumer information, auto repair information, tax forms, electronic databases, WIFI, free computer use, interlibrary loan service from other libraries, downloadable audio books and e-books, downloadable magazines, self-service checkout, and books delivered to the homebound and to senior care facilities. ​Programming and services for children including library materials and play spaces, story time programs, Lego Club, summer reading programs, special events, daycare delivery service, and outreach to local schools and child care centers. ​Weekly programming for Grades 7-12 including gaming, trivia, movies, and more. ​Adult programming that include book discussions, adult reading programs, educational and cultural speakers, events, and classes. ​Special collections include the Marge Tauber South Dakota Room (South Dakota and Watertown historical), genealogical books, large print books, Children's Educational kits, and Book Club Tubs.

Issues and files marriage licenses, issues certified copies of birth, death, and marriage certificates. Files burial permits, military discharge records, business fictitious names, federal and state tax liens, county liens, and other liens. Review and record real estate transactions (including plats, deeds, mortgages and other miscellaneous documents relating to real property) and mining claims.

Individuals are eligible for a $10.00 gas voucher once every 3 months. Please call ahead to ensure eligibility and availability of assistance.

The Monument is the entertainment mecca for the Black Hills Region. Home to many large annual events, including the Black Hills Stock Show and Rodeo Rapid City, Lakota Nation Invitational, South Dakota High School Activities Association Tournaments, Black Hills Powwow, and the Rapid City Rush hockey team. The campus includes multiple performance spaces: Summit Arena, Barnett Fieldhouse, Ice Arena, and the Fine Arts Theatre. In addition you will find two large convention/exhibit halls, and numerous other meeting rooms all under one roof.

Advocates for the Britton Area business community and promotes economic development. Represents business interests to local, state, or federal governments. Encourages and supports the growth of businesses, job creation, and regional prosperity. Facilitates connections and partnerships among local businesses and fosters community involvement. Provides resources such as professional development, marketing opportunities, and businesses tools to members. Ensures long-term growth and sustainability for both businesses and the community.

Services include:

• Routine Dental Care

Comprehensive oral exam and x-ray Dental cleaning and fluoride treatment Dental care education Fillings, root canals, and crowns Extractions

• Emergency Dental Care

Patients can walk-in and receive care during regular business hours If you are experiencing a dental emergency and the clinic is closed, please visit the urgent care department Prescription Assistance - Any Native American enrolled in a federally recognized tribe can receive prescription expense assistance at any I.H.S. facility.

NARCAN® Nasal Spray (naloxone) is designed to rapidly reverse the effects of a life-threatening opioid emergency. Naloxone is available at various distribution sites throughout South Dakota during regular business hours, free of charge.

Thrift store which supports the Sioux Falls Christian Schools.

Offers practical classes on topics such as finances, parenting, Christianity, nutrition, and marriage. These classes will provide incentives for people when homework is completed and life goals are achieved. Each quarter's class is at a different partnering church. Life INC classes are held in the evening and provide a free meal as well as a free children's ministry/care.

A 31-bed long-term care facility providing nursing and assisted living care. Also offers respite care, adult day services, hospice care, short-term rehabilitation, and therapy services.

Provides assisted living care. Services include but are not limited to 24-hour supervision while assisting residents with personal care, medication administration, and nutrition services.​

Offering a number of continuing education opportunities at the University of Sioux Falls campus or online to enhance your professional and personal development. Programs include: seminars, workshops, and more in-depth trainings at the USF campus or your place of employment.

Provides Public Health Nursing and Maternal Child Healthcare Services through various programs. General public health services include professional nursing and nutrition information and guidance on health, safety, and nutrition for individuals, families, and communities. Services such as influenza vaccinations and screenings for blood pressure, hearing, vision, and hemoglobin are available at a fee. Maternal Child Healthcare provides Infant Sleep Safety services, immunizations, and pregnancy support services. Infant Sleep Safety services provide education on infant safe sleep practices and link families to resources when the purchase of a crib is a financial hardship. ​Immunizations services are available for children from birth through age 18 for all universally recommended vaccinations including influenza. The Vaccines for Children's Program provides vaccines for children who are uninsured, have insurance that does not cover vaccinations, are Medicaid eligible, or are Native American or Alaskan Native. For families with insurance coverage, the Department of Health is an in-network provider for Sanford, Avera/Dakotacare, and Blue Cross/Blue Shield. ​Pregnancy Support Services include regular visits with a nurse to share information about pregnancy, to provide assistance in obtaining early and on-going prenatal care from a qualified healthcare provider, and to link women to resources they may need to support a healthy pregnancy. Teaching topics may include: how your body is changing and how your baby is growing; eating healthy and gaining the right amount of weight; warning signs or symptoms that indicate you should contact your doctor; breastfeeding education and support; and caring for you and your baby after delivery. The Watertown location is also able to provide car seats for all ages when the purchase of a car seat is financial hardship.

Offering many services, including books for all ages, interests and all the best sellers, large print books, music CD's, school year programs, books on CD, variety of outreach services, downloadable eBooks and audiobooks through the Libby app. Additional services offered include a public meeting room, interlibrary loan service, South Dakota collection, current magazines and local newspapers, reference assistance, DVDs, summer reading program, public Wi-Fi access to the Internet, book deliver, genealogy, microfilm of local newspapers and microfilm reader printer, service to blind and handicapped through the State Library, fax service, proctor tests, photocopier & scanner, 3D printing and laminating.

Spearfish Monument Medical Clinic is a primary care, family medicine clinic. Board certified physicians and physician assistants offer health care services sensitive to the individual needs of you and your family. Services include audiology, ear, nose, & throat, general surgery, obstetrics & gynecology (OB/GYN), pediatrics, prenatal care, radiology, concussion management, hearing aids, laboratory, medical imaging, and ultrasound.

Provides multidisciplinary brain and spine care including the following specialties: neurology, neurosurgery, physical medicine and rehabilitation, balance and dizziness, and more. Offers diagnosis and treatment of a variety of conditions including: strokes, headaches, seizures/epilepsy, neuropathy, balance disorders, movement disorders, weakness, brain injuries, concussion, MS, ALS, and more. Also provides a balance and dizziness clinic and a Spine Navigator who offers information on services provided, treatable conditions, and how to start the referral process. The spine navigator helps patients and family members understand aspects of diagnosis, treatment, and recover.

An online support group for those who have had a stroke or other brain injury/illness. The main focus of the group is to provide opportunity to socialize with others, provide resources, and offer support. This group is facilitated by a speech pathologist, however, no therapy is performed during meetings.

A maternal program providing specialized case management to pregnant women with substance and opioid use disorders by equipping them for successful recovery before and after the birth of the child.

Provides a variety of home health service including nursing services (nail care, diabetic testing and monitoring, injections, catheter and ostomy care, etc.), personal care (bathing, dressing, feeding, ambulation & mobility, incontinence care etc.), homemaking/companion care (laundry, housekeeping, meal preparation, etc.), and structured family caregiving (a program which provides a financial stipend to family members who provide personal care and support services to an individual in their private home or the private home of the principal caregiver).

Seeking to serve the needs of children, youth, families, and adults of all ages in the neighborhood of northwest Sioux Falls. Provides worship services in English and Spanish and LOGOS Children's programming. LOGOS is a weekly youth and children's ministry shared by Augustana Lutheran Church and Pueblo de Dios, a bilingual Spanish and English-speaking congregation of the ELCA. The Greek translation for LOGOS is "the Word," meaning God's message lived out.

Provides services for individual, couples, children, and family counseling as well as anger evaluations, and anger management. Committed to helping people who are experiencing emotional, psychological, personal, or family problems to increase hope and fulfill their treatment goals for a better life.

Departments consist of meat, deli, dairy, frozen foods, produce, pantry, and general merchandise. Some locations offer delivery, curbside pickup, and online shopping. Call for availability.

Provides worship services.