Photo: Nyttend · Public domainLiving in Elkhorn City, KY: what to set up and who to call
Tap water in Elkhorn City comes from Elkhorn City Water Dept, which has a clean five-year EPA record (about 22% of systems its size had a health-based violation) and a latest lead result below detection. For emergencies, Elkhorn City is closest to Dickenson Community Hospital, 12.3 miles away.
I’m new in town
What to set up in Elkhorn City, and who provides it. Tap an answer for the details and where they come from.
Power, water and internet
Who to call to start service at a new address in Elkhorn City.
Power comes from Kentucky Power
Kentucky Power (Kentucky Power Co), an investor-owned utility, serves all of Elkhorn City. Its homes paid an average of 15.9¢ per kWh in 2025, about $197 a month (its average across Kentucky).
Service territory: HIFLD Electric Retail Service Territories (map dated Aug 2023). Prices and customers: EIA-861, 2025.
Water comes from Elkhorn City Water Dept
Elkhorn City Water Dept supplies almost all of Elkhorn City. It buys treated surface water (EPA lists Mountain Water Dist as seller) and serves 1,723 people in all.
No health-based violations reported to EPA in the five years to October 2026, like 78% of the 7,966 systems serving 1,001–3,300 people.
The latest lead result on file, the 90th percentile of homes sampled in Jan 2024–Dec 2026, was 0.0 ppb, below the 15 ppb action level that applied. Results below detection are reported as 0, so 0 doesn’t mean no lead at any tap.
The system’s full record: EPA ECHO report
EPA SDWIS via Envirofacts (violations pulled Oct 9, 2026) and ECHO (lead samples, 2026Q3); service area: EPA Community Water System Service Area Boundaries v3.0. Violations are counted by the start of their compliance period. KY0980120.
4 home internet providers serve Elkhorn City
100% of 409 addresses can get 100/20 Mbps; 1% can get fiber.
| Provider | Technology | Addresses | Fastest (Mbps) |
|---|---|---|---|
| Optimum | Cable | 99% | 500/20 |
| Eastern Telephone & Technologies | Fixed wireless, Fiber | 88% | 300/100 |
| T-Mobile | Fixed wireless | 86% | 100/20 |
| AT&T | Fixed wireless | 3% | 25/3 |
FCC National Broadband Map, as of December 2025. Availability as providers report it, not speeds people get.
We don’t have Elkhorn City’s trash rules yet
Pickup rules, the dump and recycling in Elkhorn City.
Where your child goes to school
Public school districts and the school path by grade.
Elkhorn City is in Pike County School District.
Test scores and every school: see Schools →U.S. Department of Education, NCES Common Core of Data, 2024–25. Enrollment rules and registration are the district’s.
Town hall and registering to vote
Who to call, and how to register.
Election office: FVAP local election office directory, updated Jun 2023; jurisdictions: EAC EAVS 2024. Registration rules and links: vote.gov, updated Nov 18, 2024.
Elkhorn City is in ZIP code 41522
ZIP codes where Elkhorn City residents live, with the share of the town in each.
| ZIP | Post office name | Share of Elkhorn City | ZIP’s residents in Elkhorn City |
|---|---|---|---|
| 41522 | Elkhorn City, KY | 100% | 21% |
Census 2020 ZIP Code Tabulation Areas, by census block; post office names: GeoNames (CC BY 4.0). ZIPs created since 2020 are missing.
Getting around, the ER and the library
One line each; the subject pages have the rest.
ER: CMS hospital data. Library: IMLS Public Libraries Survey, FY2024.
Questions about living in Elkhorn City
Who supplies Elkhorn City’s drinking water, and has it had violations?
Elkhorn City Water Dept (EPA ID KY0980120). It reported no health-based violations to EPA in the five years to October 2026; 78% of systems its size had none. Its latest lead 90th percentile was 0.0 ppb (Jan 2024–Dec 2026), against a 15 ppb action level.
Who provides electricity in Elkhorn City?
Kentucky Power (Kentucky Power Co), an investor-owned utility. Its homes paid about 15.9¢ per kWh in 2025 (EIA).
What internet providers serve Elkhorn City?
Optimum, Eastern Telephone & Technologies, T-Mobile, AT&T (FCC, as of December 2025).
What ZIP codes are in Elkhorn City?
41522. Census 2020 ZIP Code Tabulation Areas.
What school district is Elkhorn City in?
Pike County School District.
How do I register to vote in Elkhorn City?
In Kentucky you can register online until 29 days before Election Day, in person until 29 days before Election Day, or by mail (postmarked 29 days before). Elections here are run by the Pike County Clerk. Check your registration at vrsws.sos.ky.gov.
Sources & dates
Every answer above names its source. Here they are with their dates.
- Water: EPA SDWIS (Envirofacts, pulled Oct 9, 2026), ECHO SDWA 2026Q3, EPA CWS Service Area Boundaries v3.0.
- Power: HIFLD Electric Retail Service Territories (map Aug 2023); EIA-861 final 2025.
- Trash: OpenStreetMap, Geofabrik extract of Oct 9, 2026. © OpenStreetMap contributors (ODbL).
- ZIP codes: Census 2020 ZCTA relationship files; GeoNames postal codes (CC BY 4.0).
- Schools: NCES Common Core of Data, 2024–25.
- Registration: vote.gov, updated Nov 18, 2024 (read Oct 10, 2026). Official sites and area codes: Wikidata.
- Election office: FVAP local election office directory (fetched Oct 10, 2026; each record dated), EAC EAVS 2024 jurisdictions; registration and lookup links from vote.gov’s state data, checked Oct 10, 2026.
- Internet: FCC National Broadband Map, as of December 2025.