Tiospaye Topa School is a school service delivery site that provides permanent services in Ridgeview, SD with a service delivery area of Dewey County. Tiospaye Topa School is a Health Resources and Services Administration (HRSA) funded health center offering comprehensive primary health care services to medically underserved communities and vulnerable populations. (HRSA) Health Centers are community-based and consumer-run organizations that serve populations with limited access to health care. These include low-income populations, the uninsured, those with limited English proficiency, migratory and seasonal agricultural workers, individuals and families experiencing homelessness, and those living in public housing. This programs funded grant number is #H80CS00135, and the fund grantee is HORIZON HEALTH CARE INC