Service Cities: Custer

Urgent Care

Urgent Care

Know your treatment options

When illness or injury happens, knowing where to go can save time, reduce costs and ensure you receive the right treatment quickly. Monument Health offers Same-Day Appointments, Urgent Care and OrthoExpress to treat different levels of medical need.

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If you are experiencing a serious or life-threatening condition, call 911 or go to the nearest emergency room.

Urgent Care Services

KNOW WHERE TO GO

Urgent Care

Visit Urgent Care in Rapid City or Box Elder when an illness or minor injury needs treatment soon but is not life-threatening.

Urgent Care treats patients of all ages, from pediatric to adult, with symptoms such as fever, respiratory illness, infections, allergic reactions, stomach illness, minor burns or wounds that may require stitches or imaging.

Walk-in availability allows patients to receive care quickly when waiting for a scheduled visit is not practical.

Same-Day Appointments

Schedule a same-day appointment in Belle Fourche, Custer, Lead-Deadwood, Spearfish or Sturgis when you or your family member need prompt care for common illnesses or minor health concerns that are not emergencies.

Same-Day Appointments provide fast access to care for infections, cold and flu symptoms, migraines, nausea, minor skin conditions and other routine medical concerns while supporting ongoing care with your provider.

Existing patients can schedule a Same-Day Appointment through MyChart.

OrthoExpress

OrthoExpress in Rapid City provides walk-in orthopedic care for bone, joint and muscle injuries that need prompt treatment but are not emergencies. Patients can receive evaluation and treatment for sports injuries, sprains, strains, joint swelling and minor fractures.

On-site X-rays and diagnostic services help patients receive timely treatment and return to activity as safely and quickly as possible.

STILL NOT SURE WHERE TO GO?

Registered nurses can assess symptoms, provide care guidance and help determine whether you should schedule a same-day appointment, visit urgent care, seek orthopedic walk-in care or go to the emergency room.

SPEAK WITH A NURSE: (655) 755-1350
Rapid City and Box Elder

Accredited Urgent Care Centers

Monument Health Urgent Care locations are recognized by the Urgent Care Association:

  • Accredited Urgent Care Center for Scope, Quality, and Safety
  • Certified Urgent Care
  • Certified Occupational Health
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Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

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Transitional Care

Transitional Care

Monument Health’s Transitional Care Program provides skilled nursing care and rehabilitation services for patients who are discharging from the hospital but still need temporary assistance that cannot be provided at home or in a typical skilled nursing facility. The program is designed to assist the patient in becoming as independent as possible before discharge.

Once able to safely discharge, they work with the patient’s primary care provider to coordinate any in-home services needed.

To qualify for the Transitional Care Program, the following requirements must be met:

  • Have had three inpatient overnights in an acute care bed prior to the Transitional Care Program.
  • Have an ongoing diagnosis and needs that require skilled care as defined by Medicare.
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PROGRAMS

*based on Centers for Medicare and Medicaid Services, some insurances may differ

The Rehabilitation and Critical Care Hospital of the Black Hills

The Rehabilitation and Critical Care Hospital of the Black Hills

The Rehabilitation and Critical Care Hospital of the Black Hills is a Long Term Acute Care Hospital in partnership with Vibra Healthcare.
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Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

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Primary Care

Primary Care

Whole care for your whole life

Your Primary Care Provider (PCP) is the physician you turn to first and the doctor you trust most. They treat basic illnesses and provide preventative care for you and your entire family. They will also get to know your complete medical history, help you understand medications and assist you in getting treatment for more complex or ongoing diseases and medical needs.

Monument Health Primary Care Physicians accept patients of all ages in our clinics across the Black Hills. If you would like to establish care with a PCP, start here to contact us for a consultation.

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why primary care matters

Prevention That Puts You First

Your Primary Care Provider helps you stay well, not just treat illness. From annual checkups and screenings to managing chronic or hereditary conditions, we focus on early detection and long term health.

Your Medical Home

For most health concerns, your Primary Care Provider is your first call. From minor illness to ongoing conditions, many issues can be treated right here without a referral.

Personalized & Coordinated Care

An ongoing relationship means better care. We track your health over time, understand your goals and coordinate with specialists when needed so your care stays connected.

HEALTH SCREENING CHECKLISTS FOR EVERY AGE

MEN’S HEALTH

WOMEN’S HEALTH

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

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Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

Sign up for MyChart

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Physical Therapy

Physical Therapy

Our licensed physical therapists create custom physical rehabilitation regimens using the most advanced techniques and equipment available. You can expect decreased pain and improved mobility. 

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Services Offered

 

 

*Service availability varies by location 

Shockwave Therapy

Shockwave Therapy

Shockwave therapy is a technique used in orthopedics, physical and occupational therapy, and sports medicine. It is a non-surgical, non-invasive therapy that transmits focused acoustic waves to the affected tissue. These waves stimulate the body’s natural healing mechanisms to aid in the reduction of pain, restoration of normal tissue function, and reducing the need for medications and/or significant activity modification.

Deep Tissue Laser Therapy

Laser therapy is used in orthopedics, physical and occupational therapy, and sports medicine. It is a non-surgical, non-invasive therapy that uses focused light to stimulate a process called photobiomodulation (PBM). During PBM, photons enter the affected tissue and trigger a biological cascade of events that leads to an increase in cellular metabolism, which can decrease pain and inflammation and accelerate the healing process.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Find A Provider

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

Sign up for MyChart

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Orthopedics

Orthopedics

Start Your Comeback.

Monument Health’s team of trained orthopedic specialists treat injury, arthritis or joint wear-and-tear with a focus on moving you from diagnosis to treatment, recovery and beyond. Our services include: arthroscopic and orthopedic surgery, carpal tunnel release, fracture care, knee or hip replacement and joint injections.

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Hip Preservation Institute
Orthopedic & Specialty Hospital

Hip Preservation Institute

Monument Health Hip Preservation Institute uses a comprehensive, multi-disciplinary approach to provide personalized, non-surgical and minimally-invasive surgical care to relieve hip pain, restore function and prevent long-term deterioration.
Explore Hip Preservation Institute
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Orthopedic Procedure Animations

Browse the procedure animations below, provided by Understand.com, to help you understand what to expect.

Flying Again

I’m Back

Alison Cooper is not one to take things slow.

The Spearfish High School junior juggles life as a cheer captain, horseback trail guide at Andy’s Trails in Lead and aerial acrobatics performer. But when pain in her left hip began to limit her active lifestyle, she turned to David Woodard, M.D., for answers.

Read Patient's Story

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Find A Provider

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

Sign up for MyChart

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Occupational Therapy

Occupational Therapy

Occupational therapists help patients with skills for living, such as caring for themselves, cooking, homemaking and working. We work with people of all ages who, because of illness or injury, need to re-learn skills to return to productive, independent and satisfying lives.

The rehabilitation process can be different for every patient, often requiring specialized or personalized types of therapy. Our team works closely with Physical Therapy, Speech Therapy and other members of your care team to guide you to recovery.

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Conditions We Treat

The conditions that an occupational therapist treats include:

Therapy Treatments

Each condition and person is different. Our occupational therapists will tailor your treatment plan to your condition. Treatments include:

  • Activities of daily living performance
  • Adaptive equipment
  • Child development or pediatric therapy
  • Cognitive evaluation
  • Driving assessment
  • Hand therapy
  • In-clinic driving evaluation
  • Individualized evaluation and goal-setting
  • Industrial rehabilitation, including office ergonomics, job site assessment and functional capacity evaluation
  • Neurological rehabilitation
  • Orthopedic rehabilitation
  • Sensory and feeding evaluation
  • Splint fabrication and training
  • Wheelchair positioning
Shockwave Therapy

Shockwave Therapy

Shockwave therapy is a technique used in orthopedics, sports medicine, physical and occupational therapy. It is a non-surgical, non-invasive therapy that transmits focused acoustic waves to affected tissue. These waves stimulate the body’s natural healing mechanisms to aid in the reduction of pain, restoration of normal tissue function, and reducing the need for medications and/or significant activity modification.

Deep Tissue Laser Therapy

Laser therapy is used in orthopedics, physical and occupational therapy, and sports medicine. It is a non-surgical, non-invasive therapy that uses focused light to stimulate a process called photobiomodulation (PBM). During PBM, photons enter the affected tissue and trigger a biological cascade of events that leads to an increase in cellular metabolism, which can decrease pain and inflammation and accelerate the healing process.

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Find A Provider

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

Sign up for MyChart

More From Monument Health

What People Are Saying

Your doctors are world class. Really. From your front office, technicians and nurses you are well supported with the same standard the doctors practice. Clearly you are a team of professionals that care deeply and honor their oaths of duty.

Patient Video Stories Share Your Story

New to South Dakota and needed a primary care doctor. Easy to link my info within Mychart, and scheduled an appt. Had all my concerns addressed and was treated respectfully and in a very timely manner…..highly recommend Monument Health and their staff!

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Excellent job on my knee surgery, excellent bed side manner, and patiently answered all of my questions.

Share Your Story

Medical Imaging

Medical Imaging

Medical science has made great strides in the treatment of complex human ailments. However, the first step in treating an illness is making an accurate diagnosis. Medical imaging technology and other diagnostic tools assist physicians in quickly diagnosing and determining the best treatment options for patients.

Monument Health medical imaging and radiology professionals work closely with physicians to provide the most advanced diagnostic and therapeutic procedures, utilizing the lowest possible radiation dose. Our team works diligently to provide quick turnaround times. Most imaging services are also available on the weekend for patients’ convenience.

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Our Services

Digital Mammography

Digital Mammography

Breast cancer is the second most common cause of cancer-related deaths in women. Fortunately, digital mammography technology allows physicians to focus on areas of concern.
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Calcium Scoring
A SIMPLE HEART SCAN COULD SAVE YOUR LIFE.

Calcium Scoring

Monument Health Rapid City, Custer and Lead-Deadwood Hospitals offer a calcium scoring scan in partnership with the National Heart Health Program.
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Easy Upload For Providers

Easy Upload

Looking to send imaging to Monument Health – Follow these steps to upload your medical images:

1. Enter your email address or phone number
2. Click Send Authentication Code to receive an authentication code

If you need any help with the easy uploader, please reach out to Monument Health PACS team at 605-755-2242.

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

Sign up for MyChart

More From Monument Health

What People Are Saying

Your doctors are world class. Really. From your front office, technicians and nurses you are well supported with the same standard the doctors practice. Clearly you are a team of professionals that care deeply and honor their oaths of duty.

Patient Video Stories Share Your Story

New to South Dakota and needed a primary care doctor. Easy to link my info within Mychart, and scheduled an appt. Had all my concerns addressed and was treated respectfully and in a very timely manner…..highly recommend Monument Health and their staff!

Share Your Story

Excellent job on my knee surgery, excellent bed side manner, and patiently answered all of my questions.

Share Your Story

Laboratory Services

Laboratory Services

With the most robust lab test offering in the region, Monument Health Laboratories use state-of-the art technology in multiple locations throughout western South Dakota to produce accurate, sensitive and timely labs, close to home. Results are shared directly with health care providers and patients through the MyChart electronic health record portal.

Monument Health Laboratories utilize Mayo Clinic Laboratories for esoteric testing needs. Mayo Clinic Laboratories is a distinctive leader in the field of esoteric testing.

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Lab On-Demand

Lab On-Demand

Cash lab offerings at many locations

Lab On-Demand testing allows individuals to request laboratory testing and receive results without a physician’s order at a discounted price.

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Educational Info

Are you a health care provider?

Are you a health care provider?

Monument Health Laboratories provides reference lab services to a variety of healthcare providers to expand their lab service offerings and receive fast, accurate and cost-effective results.

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Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

Sign up for MyChart

Emergency Medicine

Emergency Medicine

Monument Health Hospitals in Custer, Lead-Deadwood, Rapid City, Spearfish and Sturgis provide 24/7 emergency medical services. 

All Emergency Departments treat injuries, illnesses that are immediately life-threatening and other emergent conditions of both adult and pediatric patients. Teams of doctors, registered nurses, advanced providers and other specially trained staff are available 24 hours a day, seven days a week to treat anyone seeking emergency medical care. Each year, Monument Health providers see more than 75,000 patients in the emergency care setting.

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Rapid City Emergency Department

In addition to treating more common urgent or emergent medical conditions, the Department of Emergency Medicine at Rapid City provides Level 2 Trauma services, caring for patients with extremely severe injuries and serves as a referral center for people with traumatic injuries throughout Western South Dakota, Western Nebraska, Western North Dakota, Eastern Wyoming and Eastern Montana.  

As the region’s only accredited stroke center, Rapid City Hospital’s award-winning Interventional Neurologists on the Stroke Care team are the area’s recognized leaders. The Heart and Vascular Institute is also the largest provider of full scale cardiovascular services in western South Dakota. These nationally-lauded services collaborate closely with the Emergency Department and are often the difference between life and death in emergent heart failure and stroke victims.

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Monument Health Emergency Services & Medical Campus at 1911 East Mall Drive, Rapid City, SD. Exit 60 at I-90, across from the Toyota dealership.
New In Rapid City

Emergency Services & Medical Campus

On June 10, 2026, the Emergency Services & Medical Campus at 1911 East Mall Drive opened to meet the community’s growing need for emergency care. Just off I-90 at Exit 60, across from the Toyota dealership, the standalone emergency facility is more convenient for the growing Rapid City community along the I-90 corridor.

Doctors from the Emergency Department at the Rapid City Hospital will be delivering the same high-quality care and caring experience at this new location — specializing in Emergency Medicine, Lab On-Demand, Laboratory Services and Medical Imaging. It is open 24 hours, 365 days a year for all.

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Sturgis Emergency Department

The Sturgis Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital (CAH).

Sturgis Emergency Department is a proud participant in the American Heart Association’s Mission: Lifeline acute stroke and post-acute stroke projects. Our participation in the Mission: Lifeline Stroke initiative demonstrates our commitment to quality care. We are proud to be a part of the American Heart Association’s efforts to turn guidelines into lifelines.

In addition, the Sturgis Emergency Department provides access to other providers who specialize in emergency care via Telehealth. 

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Spearfish Emergency Department

The Spearfish Emergency Department is a South Dakota Department of Health Designated Community Trauma Hospital (CTH) open 24/7 and is fully equipped to care for patients of all ages in critical and urgent situations. With trauma-trained nurses and providers ready upon patient arrival, Spearfish ED evaluates, stabilizes and treats trauma patients with immediate ATLS-compliant care protocols and surgical resuscitation procedures prior to transfer (if required). We are also equipped with 24/7 laboratory services, medical imaging and respiratory therapy.

Backed by a Spearfish Hospital’s full range of services, including: Inpatient care, Labor and delivery, Intensive care and Surgical specialties, Spearfish ED is Staffed with experienced emergency medicine providers, including physicians and advanced practice providers, with increased staffing during high-volume midday hours. Immediate access to on-call specialists in General Surgery, Orthopedic Surgery and Obstetrics and Ear, Nose and Throat, ensures timely expert evaluation and intervention.

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Lead-Deadwood Emergency Department

The Lead-Deadwood Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital.

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Custer Emergency Department

The Custer Emergency Department is state-certified as a South Dakota Department of Health trauma receiving hospital and a Centers for Medicare & Medicaid Services Critical Access Hospital. Open 24/7, Custer ED offers outpatient infusion services for medication injections and infusions, 12-bed inpatient services, respiratory therapy, 24/7 Lab and Radiology and a doctor available 24/7. 

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Leading Rural Health Care

Critical Access Hospitals

The Sturgis, Lead-Deadwood and Custer Emergency Departments are Critical Access Hospitals. CAH is a designation designed to improve access to healthcare by keeping essential services in rural communities. Eligible hospitals must be more than 35-miles away from the nearest hospital/CAH, maintain 25 inpatient or swing-beds and maintain 24-hour emergency care services 7 days a week.

Designated Trauma Hospitals

The Sturgis, Lead-Deadwood and Custer Emergency Departments are Trauma Receiving Hospitals. South Dakota divides trauma hospitals into five groups: regional, area, community, receiving and non-trauma. A trauma receiving hospital must maintain 24/7 emergency department coverage by physician, physician assistant or nurse practitioner.

Community Trauma Hospital (CTH)

As a CTH, Spearfish Emergency offers 24/7 physician coverage and surgical coverage for all trauma team activations, with trauma transfers for when surgery is not available.

All emergency staff maintain certifications in:
• Advanced Trauma Life Support (ATLS) through the American College of Surgeons
• Trauma Nursing Core Course (TNCC) through the Emergency Nurses Association
• Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) through the American Heart Association
• Additional emergency care competencies and ongoing training

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Find A Provider

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

Sign up for MyChart

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General Surgery

General Surgery

Our surgical care teams in Rapid City and Spearfish include skilled, board-certified surgeons who provide evaluation and treatment for a full range of general surgery conditions. With advances in medicine, technology and anesthesia, surgery is far less invasive than it used to be. Patients recover more quickly, so they can get back to their lives. Our providers work collaboratively with a specialized support team to monitor your progress through recovery and beyond to ensure your best path to recovery.

Surgical Services Include:
Anti-reflux surgery, breast surgery, dialysis access, gastrointestinal surgery, hernia surgery, hemorrhoid procedures, surgical oncology (cancer), trauma and acute care surgery, thyroid, parathyroid and adrenal surgery, thoracic (mid-spine) surgery

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Bariatrics

Bariatrics

If your weight has started affecting your health and your way of life, and other weight loss methods have not been successful, it may be time to consider weight-loss (bariatric) surgery.
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Anti-Reflux Surgery

Anti-Reflux Surgery

Physicians at Monument Health specialize in the diagnosis and treatment of gastroesophageal reflux disease (GERD). We offer comprehensive care for your reflux disease, taking the time to work with you and your care team to develop a plan that is right for you.

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Breast Surgery

Breast Surgery

We provide state-of-the-art diagnosis, prevention and treatment and work collaboratively with general and plastic surgery to determine the best course and sequence of treatment for you.
Breast Surgery

Find a Provider

At Monument Health, you’ll receive expert care from a comprehensive team of healthcare providers and specialists. Our providers diagnose, treat and manage a wide range of health conditions and concerns. Find a provider who can help you understand your options and build a care plan around your individual needs.

Find A Provider

Take Control of Your Health with MyChart

View test results, message your care team, schedule appointments, refill prescriptions, and access your records in one secure place.

Sign up today to manage your health anytime, anywhere.

Sign up for MyChart

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