The town lies beside the Saskatchewan-Manitoba border, adjacent to Flin Flon, Manitoba. Due to the proximity between these two communities, there is a relatively high level of cross-border service sharing.
One of the most frequently accessed services of Flin Flon is the Flin Flon General Hospital, and Flin Flon Ambulance Service. Due to the small population of Creighton, the Government of Saskatchewan permits its residents in Creighton, Denare Beach, Sandy Bay, and Pelican Narrows to utilize the basic and emergency medical services of Flin Flon. The nearest Saskatchewan medical centre is in Prince Albert, 400 kilometers southwest of Creighton. In addition, though not legally exempted, Creighton and neighbouring Denare Beach informally observe Daylight saving time in spite of a provincial prohibition on the official use of it, thus keeping in sync with the community that is its primary public service resource.
The current Mayor is Bruce R. Fidler - elected by acclamation in 2003, and began his second term in 2006.