| Elk River to Southern Pines (North Carolina) | 1,021.06 mi (1,643.24 km) |
| Elk River to Southfield (Michigan) | 549.19 mi (883.84 km) |
| Elk River to Southgate (Michigan) | 559.77 mi (900.86 km) |
| Elk River to Southlake (Texas) | 876.21 mi (1,410.12 km) |
| Elk River to Spanaway (Washington) | 1,377.12 mi (2,216.26 km) |
| Elk River to Spanish Fork (Utah) | 983.11 mi (1,582.17 km) |
| Elk River to Spanish Lake (Missouri) | 483.69 mi (778.42 km) |
| Elk River to Spanish Springs (Nevada) | 1,379.48 mi (2,220.05 km) |
| Elk River to Sparks (Nevada) | 1,384.17 mi (2,227.61 km) |
| Elk River to Spartanburg (South Carolina) | 943.10 mi (1,517.77 km) |
| Elk River to Spearfish (South Dakota) | 504.48 mi (811.89 km) |
| Elk River to Speedway (Indiana) | 533.53 mi (858.63 km) |
| Elk River to Spencer (Iowa) | 170.14 mi (273.81 km) |
| Elk River to Spokane (Washington) | 1,141.87 mi (1,837.66 km) |
| Elk River to Spokane Valley (Washington) | 1,132.64 mi (1,822.81 km) |
