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Downtown's

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History, beauty, and adventure in the Black Hills

Hot Springs exudes a friendly, small-town atmosphere. The historic downtown area is bustling with locally-owned shops and restaurants, while the surrounding residential areas offer a peaceful retreat. It's a place where you can easily connect with the community and enjoy a slower pace of life.

Downtown Fall River & Custer Region
COMMUNITY GUIDE · FALL RIVER & CUSTER REGION
Fall River & Custer Region, Custer County

City Snapshot

Population

156,000

County

Custer County

Timezone

America/Chicago

Median Income

$75,943

Quick Numbers

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Emergency Services

Poison Control

Suicide & Crisis Lifeline

Domestic Violence Hotline

Child Abuse Hotline

Veterans Crisis Line

Monument Health – Custer

Regional Health St. Anthony Hospital

This Week

Tax Deed Auction

2026-06-18

Fall River County Courthouse, 2nd Floor Courtroom

Community Leaders

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M
Mike Rounds

U.S. Senator

Republican Party

J
John Thune

U.S. Senator

Republican Party

Larry Rhoden
Larry Rhoden

Governor

Republican Party