VA Black Hills Health Care System has two medical centers offering premier health care services throughout an area that includes South Dakota and portions of Nebraska, North Dakota, Wyoming, and Montana. VA Black Hills has clinics in Rapid City, SD; Winner, SD; Pierre, SD; Pine Ridge, SD; Gordon, NE; Scottsbluff, NE; and Newcastle, WY. Services such as Vocational Rehabilitation, Transitional Residences, and mental health are located in Eagle Butte, McLaughlin area, Pine Ridge, Rapid City, and Sturgis, SD.