The city has developed around downtown Bismarck, the center of historic development. It is distinctive because the city's major shopping center, Kirkwood Mall, is in the city center rather than in the suburbs. Several other major retail stores are in the vicinity of Kirkwood Mall, which was developed near the Bismarck Civic Center. The two Bismarck hospitals, CHI St. Alexius Medical Center and Sanford Health (previously Medcenter One Health Systems) are both downtown. The streets are lined with small stores and restaurants.