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

Botetourt County is ranked 13th in the state in the amount of land that is protected by conservation easements. Combined with national forest and other protected lands, over 30% of the County is protected for the scenic and recreational enjoyment of future generations.