Public Health

Botetourt County Health Department

P.O. Box 220
21 Academy Street
Fincastle, VA 24090
Located next door to the Fincastle Library

Monday - Friday   8:00 AM - 4:30 PM
Phone: (540) 473-8240
Fax:     (540) 473-8242

As part of the Alleghany Health District, Botetourt County's Health Department offers numerous programs and services that promote and protect the health of Botetourt's citizens.

Clinic services are provided based on family income and a sliding fee scale and/or at no cost to clients. Call for an appointment or clinic times.


  • Family Planning
  • Immunizations
  • Sexually Transmitted Disease/HIV
  • Car Seat Program
  • Nursing Case Management
  • Women, Infant, Children (WIC) Nutrition programs
  • Environmental Health (540) 473-8243
  • Community Health Education



Did You Know...

Fpo Did You Know

Several Civil War Trails markers are found in and around the Town of Buchanan that tell the story of Hunter's Raid. One tells how Confederate Gen. McCausland fired on the covered bridge, in the face of Hunter's advancing army. After setting the fire, McCausland swam across the James to safety as Union soldiers fired at him.