Elkhorn, one of the earliest McDowell County coal camps, was established in 1888 when the railroad reached this point in its northwest trek down the narrow valley of Elkhorn Creek. The town, a short distance north of U.S. 52, is reached via Elkhorn Station Road. Elkhorn, now little more than a rural village, rewards visitors with one of the most intact operator's houses in coal country, the region's smallest post office, and a well-preserved Orthodox church.
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