Problems in the delivery of community services to rural areas have received increasing attention in recent years. One concern has centered on questions of use, availability, accessibility, satisfaction, and problems in use by consumers, while a second focus has been on provider organization. A third important focus has been on the role of services in development of a community. Does service “mix” (amount of services provided in a community) have an effect on growth or decline of the community? Conversely, does growth or decline of the community have an effect on service mix? These are at least three more specific dimensions of the larger complex issue of service delivery for rural areas.