Indian Creek is a major boat launch point on the Middle Fork Salmon River featuring a 4,650-foot airstrip, boat ramp, composting toilet, and filtered water hydrant for river users.

The site serves as a popular access point for commercial outfitters and private boaters year-round, with increased use during summer as water levels drop and other launches become difficult.

Camping is available at a designated river camp at the confluence of Indian Creek and the Middle Fork, though overnight camping near the airstrip itself is restricted.