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About Health Centers

What Is a Health Center?

Health centers serve as essential medical homes where patients find services that promote health, diagnose and treat disease, and manage chronic conditions and disabilities. In rural communities, health centers support a community’s ability to retain local health care options. The Dakotas’ network of health center organizations provides care to nearly 136,000 patients each year at 66 delivery sites in 52 communities across North Dakota and South Dakota.

Federally qualified health centers are non-profit, community-driven clinics that provide high-quality primary and preventive care to all individuals, regardless of their insurance status or ability to pay. Health centers are located in underserved and low-income urban and rural areas across North Dakota and South Dakota, providing access to affordable, quality health care for those who need it most.


Health centers provide integrated and comprehensive services, including:

  • Dental
  • Medical
  • Behavioral
  • Insurance enrollment specialists
  • Vision care
  • Translation/interpretation
  • Pharmacy


Health centers serve all populations with limited access to health care, including:

  • Rural and frontier areas
  • Veterans
  • Limited English proficiency
  • Uninsured
  • Medicare and Medicaid
  • Low-income


Health centers in the Dakotas have a significant impact on their patients and the communities they serve. In addition to bringing quality, affordable health care to populations that wouldn’t otherwise have access, health centers make important contributions to their local workforce and economy, while generating substantial cost savings for the nation’s health care system.

Of the nearly 136,000 individuals health centers in the Dakotas served in 2021, over 27,500 were uninsured, with a large percentage earning below 200% of the federal poverty level. In 2021, health centers served more than 43,000 children, provided dental services to nearly 29,000 individuals, and employed 1,125 full-time equivalents.

According to a 2021 study, health centers across North Dakota and South Dakota have a total economic impact of $266 million, directly contributing to the growth and vitality of local and statewide economies. Health centers also bring significant cost savings to the health industry, with a recent study reporting that each patient receiving care at a health center saved the health care system 24% annually.

Find Out More
ND SnapshotND Economic ImpactsSD SnapshotSD Economic Impacts

Member Directory

Meet Our Members

North Dakota
Organization Profile CEO/Executive Director
Coal Country Community Health Center     Kurt Waldbillig
Community Health Service Inc.   Dr. Stephanie Low
Family HealthCare   Margaret Asheim – Interim Chief Executive Officer & Acting Chief Financial Officer
Northland Health Centers   Nadine Boe
Spectra Health   Mara Jiran
South Dakota
Organization Profile CEO/Executive Director
Complete Health   Tim Trithart
Falls Community Health   Amy Richardson (interim)
Horizon Health Care   Wade Erickson
South Dakota Urban Indian Health   Michaela Seiber
Oyate Health Center

The Community HealthCare Association of the Dakotas (CHAD) is a non-profit membership organization that serves as the primary care association for North Dakota and South Dakota. CHAD supports health center organizations in their mission to provide access to health care for all Dakotans regardless of insurance status or ability to pay. CHAD works with health centers, community leaders, and partners to enhance access to affordable, high-quality health care and find solutions for expanding health care services in the areas of the Dakotas that need it most. For more than 35 years, CHAD has advanced the efforts of health centers in North Dakota and South Dakota through training, technical assistance, education, and advocacy. Currently, CHAD provides a variety of resources to enhance key areas of operations, including clinical quality, human resources, finance, outreach and enabling services, marketing, and policy.

North Dakota
Organization Profile Contact
North Dakota Primary Care Office Stacy Kusler
North Dakota American Cancer Society Jill Ireland
South Dakota
Organization Profile CEO/Executive Director
Great Plains Quality Innovation Network  Ryan Sailor

Explore Our Network

Find A CHC

View North Dakota CHC Locator in a full screen map

View SD Location Map in a full screen map

Health Centers in the News


April 2022
New program supports Native American LGBTQ+ communities

James Valley Community Health Center recognized

Community members receive Grand Forks Public Health Champion Awards at City Council Meeting

May 2022

Yankton Community Health Center Receives Recognition (Horizon)

Community Health Center receives recognition (Horizon)

Community Members receive Grand Forks Champion Awards at City Council meeting

Dream Center opens in Bismarck

Sioux Falls Pride celebrations grow to new location

June 2022

How a Lakota Nurse Uses Trauma-Informed Care to Help Her Community Heal

Horizon Health Foundation receives gift from Heartland Consumers Power District

Falls Community Health gives free in-home COVID-19 test kits

Horizon receives gift from Union County Electric Cooperative

Sturgis to launch new community health program

August 2022

Turtle Lake health care facilities get aid

Horizon Health dental clinic offers mouth guards for student athletes

Horizon Health Care: Healthcare in Rural SD

How the Senate’s insulin cap rejection affects S.D. diabetes patients

Blue Move 5K Run/Walk to raise awareness of Colorectal Cancer August 13

SDSU team named Student Champions for Climate Justice award winners

Someone You Should Know: Native American advocates offer spiritual-based programs through non-profits

Affordable housing, shelter capacity top concerns in first Sioux Falls Homeless Task Force meeting

Homeless Task Force hears ‘firehose’ of info from Sioux Falls organizations

September, 2022

Horizon Health Foundation, Delta Dental team up to offer free dental care for kids

With school started, it’s time to schedule your primary care visits

October 2022

Horizon Health Care’s Chief Dental Officer, Michelle Scholtz, stopped by Keloland Living to talk about Horizon’s Smiles for Miles program.

CHAD CEO Shelly Ten Napel and Wade Erickson, CEO of Horizon Health Care, spoke to the Grand Forks Herald about how Medicaid expansion will help rural health centers.

December 31, 2020
Community Health sees renovations

December 29, 2020
Medical leaders receive the COVID vaccine

December 8, 2020
Horizon Health Care CEO earns regional award, has award renamed in his honor

November 27, 2020
Open enrollment period nearly done

November 26, 2020
Horizon Health Foundation To Celebrate ‘Giving Toothsday’

November 18, 2020
SOUTH DAKOTA FOCUS: Blood Sugar Rising–South Dakotans & Diabetes

November 11, 2020
The pandemic’s dangerous transition

November 10, 2020
Horizon Health Care Employees Come Together

November 3, 2020
Rural Health Care begins Brookings operations

November 2, 2020
‘It Has Hit Us With a Vengeance’: Virus Surges Again Across the United States

October 28, 2020
Halloween Safety Precautions during pandemic

October 22, 2020
Rural South Dakota Doctor On His Town’s Struggle With Coronavirus Surge

October 21, 2020
October is National Substance Abuse Prevention Month

October 21, 2020
Chicago mayor warns on COVID rise: ‘We are in the second surge’

October 19, 2020
Ways to support parents going through bereavement

October 18, 2020
As coronavirus cases rise, red-state governors resist measures to slow the spread, preach ‘personal responsibility’

October 18, 2020
Spectra Health moves forward with nod to past ties

October 17, 2020
Rural Midwest hospitals struggling to handle virus surge

October 15, 2020
Newbold named Horizon’s chief operations office

September 30, 2020
Horizon Health Opens Yankton Location

September 21, 2020
Rural hospitals say federal work rule leaves them vulnerable

September 21, 2020
Horizon Health Care Opens New Yankton Location

September 17, 2020
Hazen, Beulah superintendents give update on COVID-19 in their districts

September 9, 2020
Dakotas’ COVID Spike: Not Just an Urban Problem

July 1, 2020
The Open Arms of DeSmet and the Lim Family

June 24, 2020
SPECIAL REPORT: Pandemic threatens fragile rural health-care system in South Dakota

June 22, 2020
COOPED-UP From COVID Trip Raffle Provides Protection for Rural Healthcare

June 18, 2020
Clinic geared towards LGBT+ youth opens in Rapid City

June 15, 2020
Free rapid HIV testing available in Sioux Falls

May 20, 2020
More than 100 PPE Distributed

May 13, 2020
Falls Community Health combating COVID-19 with rapid in-house testing

May 10, 2020
Northwestern Energy provides help to Horizon Health Care

May 7, 2020
Stimulus bill sends $1.25 billion to state; funds might cover testing costs

May 6, 2020
Task force to investigate COVID-19 hotspot in Fargo area

April 23, 2020
CDC funds healthcare systems following guidance to stop any non-essential visits

April 19, 2020
North Dakota dentists work through pandemic, only accepting emergency patients

April 5, 2020
Letters to the editor April 5: Rural healthcare key for coronavirus treatment

April 3, 2020
Community health center starts COVID hotline

April 2, 2020
Virus spreads through South Dakota family’s close ties

March 30, 2020
Horizon Health Care receives $76,000 COVID-19 grant

March 8, 2020
Helping those in need

February 20, 2020
Lewis partners with Horizon to open pharmacy depot

February 3, 2020
60 rural hospital CEOs to know | 2020

School based dental clinics offering sealant programs for second graders

January 29, 2020
January is cervical health awareness month

January 21, 2020
De Smet, Howard high school students raise $14K

January 5, 2020
Horizon Health Care Employees Donate Over $55,000 In One Month

December 27, 2019
Horizon Health Care employees donate over $55,000 in one month

December 16, 2019
Horizon Health Foundation raises $20,000 in 24 hours

December 12, 2019
Web conferencing shows promise in mental health treatment

December 5, 2019
12 Days of Christmas: Snowballs

December 3, 2019
SD Day Of Giving: Horizon Health Foundation

November 27, 2019
USDA invests over $1.6 million in the expansion of rural education and health care

November 12, 2019
Western North Dakota’s First Rural Addiction Center Expands

November 7, 2019
Retired pediatrician continues commitment to children’s health in Grand Forks

November 6, 2019
Rural areas in North Dakota struggle to find health care providers

November 1, 2019
Bringing Mental Health Services Directly to Students in Rural Schools

October 30, 2019
New partnership created to increase clinic access in Mitchell

October 30, 2019
Horizon Health Care To Offer VA Health Benefits

October 27, 2019
Horizon Health Care Awarded Oral Health Expansion Grant

October 24, 2019
Horizon Health Care awarded $300,000 grant to expand its oral health services

October 1, 2019
Spectra Health receives $300,000 grant

September 17, 2019
ND, SD clinics get wired for lower costs, better patient record access

September 10, 2019
Letter: Urge Congress to extend funding for community health centers

August 26, 2019
RCTC center offers health care, advice and more under one roof

August 21, 2019
Northland receives grant funding

August 13, 2019
Northland Health Centers offer Medication Assisted Treatment

August 8, 2019
Letter: Keeping our communities healthy

KELOLAND LIVING: School Based Health Centers

August 7, 2019
Community Health Center of the Black Hills celebrates National Health Center Week

August 6, 2019
State community health centers’ economic impact tops $91 million

July 31, 2019
Monitoring micro and macro nutrients can lead to a more sustainable lifetime diet

Mobile Healthcare Unit in Crookston August 6-7

July 29, 2019
Northland Health Center offers different approach to opioid addiction treatment

June 26, 2019
Community Health of the Black Hills receives Black Hills Area Community Foundation Food Security grant

July 22, 2019
Dr. Kinsey Nelson Promoted to Medical Director at Family Healthcare

June 20, 2019
Student debt is keeping doctors from rural areas

April 1, 2019
Access to care, behavioral health, and chronic diseases identified as top Sioux Falls health issues

Report: Sioux Falls struggling with depression, chronic disease, geographic disparity

March 6, 2019
Donations for Smiles – Horizon

March 5, 2019
Bad Breath Remedies [Featuring Falls Community Health Dental Clinic Manager Kelly Piacentino]

March 3, 2019
Horizon Health Foundation Receives Nearly $500,000 For Alcester Dental Clinic Upgrades

February 27, 2019
Carla Schweitzer, CNP, named Horizon Health Care Provider of the Year

February 26, 2019
KXnet – 
Losing sleep due to stress? You’re not the only one (Northland Health Centers)

February 22, 2019
Rural health initiatives fill life-saving gaps in remote areas

February 14, 2019
Justin Risse named Horizon Health Care Employee of the Year

February 13, 2019
KXNet –
Small Town Health Center Tackles Rural Addiction for the First Time (Coal Country)