The City Health Department handles a wide variety of issues. The Environmental Health Division consists of programs that regulate tattoo parlors, lodging, campground, Project NICE, food protection programs, child care registration program, noise permits, and environmental/nuisance complaints. The Public Health Laboratory provides testing services such as environmental microbiology, water testing for private wells/swimming pools, and clinical testing.

Code enforcement serving rural Pennington County (Rapid City Limits not served, except for tattoo, ABD body piercing establishments), inspections such as body piercing establishments for public health and safety, inoperable vehicles, grass over 12 inches/weeds, pet feces, junk/debris, and dangerous or unsafe situations.