Buncombe County Public Health phone numbers, vaccines, WIC, records and environmental services
Around Asheville, folks often say “the health department” even though Buncombe County Health & Human Services covers several different offices and programs. The main public-health clinic is downtown at 40 Coxe Avenue, but Vital Records and Environmental Health use different locations.
This guide separates those routes so you know whether to call Clinical Services, Immunizations, WIC, Communicable Disease, Environmental Health or the Register of Deeds before you make the trip.
What does the Buncombe County Health Department handle?
Buncombe County Public Health is part of the county’s Health & Human Services system. Its main public-health location at 40 Coxe Avenue in Asheville handles clinical and prevention programs such as family planning, immunizations, STI services, communicable-disease work, WIC, TB services, care coordination and community health programs.
Not every “health department” task happens at Coxe Avenue. Environmental Health operates separately, and certified birth, death and marriage records are purchased through the Register of Deeds/Vital Records office.
Clinical Services, reproductive health, vaccinations, WIC, communicable-disease questions, STI care, TB services and public-health program routing.
Environmental Health, including septic systems, wells, food/lodging permits and environmental-health applications.
Certified Buncombe County birth, death and marriage records through the Register of Deeds/Vital Records office.
Buncombe County Health Department phone numbers by service
| Need | Phone | Office / route | Best use |
|---|---|---|---|
| Public Health / Clinical Services | 828-250-5000 | 40 Coxe Avenue | Family planning, WIC, general clinic services and Public Health routing. |
| Health & Human Services administration | 828-250-5500 | 40 Coxe Avenue | General HHS administration and broader human-services routing. |
| Immunizations | 828-250-5096 | 40 Coxe Avenue | Vaccination appointments, walk-in information and vaccine-record questions. |
| Communicable Disease | 828-250-5109 | 40 Coxe Avenue | Reportable diseases, exposure questions and public-health disease investigations. |
| STI Testing & Treatment | 828-250-5109 | 40 Coxe Avenue | Local STI testing and treatment clinic routing. |
| Environmental Health | 828-250-5016 | 35 Woodfin Street | Septic, wells, food/lodging, pools and environmental-health applications. |
| Vital Records | 828-250-4300 | 205 College Street | Certified birth, death and marriage records. |
| Child abuse report | 828-250-5900 | Buncombe County HHS | Report suspected child abuse or neglect at any time. |
| Adult abuse report | 828-250-5800 | Buncombe County HHS | Report suspected abuse, neglect or exploitation of an adult. |
Choose the right Buncombe County health service before you call
Call Clinical Health Services at 828-250-5000 for Family Planning appointments and current preparation instructions.
Use the Immunization Clinic at 828-250-5096.
Call 828-250-5000 or start with the county WIC referral process.
Call 828-250-5109 and ask about the STI Testing & Treatment Clinic.
Use Vital Records at 205 College Street, not the regular Public Health clinic counter.
Use Environmental Health at 35 Woodfin Street and have the property PIN and plat ready.
Environmental Health handles qualifying food, lodging and institutional regulatory services.
Call 828-250-5109. Healthcare providers also have a dedicated county reporting site.
Call 911 for immediate medical or life-safety emergencies rather than waiting for a county clinic callback.
Family Planning, reproductive health and low-cost clinic services
Buncombe County Clinical Health Services operates at 40 Coxe Avenue and is open Monday through Friday from 8 AM to 5 PM. County materials describe appointments as confidential and low-cost.
Family Planning services can include pregnancy testing, contraceptive counseling, IUDs and implants, emergency contraception, STI testing/treatment, cervical cancer screening when appropriate, breast/chest exams and referrals for permanent contraception.
The county states services are available to men, women, transgender and non-binary individuals.
Bring insurance information and/or proof of current income when requested. A sliding-scale fee is available for Family Planning services.
Call 828-250-5000 and tell staff which service you need so they can give current appointment instructions.
Buncombe County immunization clinic appointments and walk-ins
The Buncombe County Immunization Clinic is at 40 Coxe Avenue and can be reached at 828-250-5096. General clinic hours are Monday-Friday, 8 AM-5 PM.
The county currently publishes both appointment and walk-in options. Walk-ins are listed for Monday, Wednesday and Friday from 8-11:30 AM, and Tuesday and Thursday from 1-4:30 PM.
Bring any vaccine card, school record or prior medical documentation you already have.
Use 828-250-5096 to confirm availability and whether you should schedule instead of using walk-in hours.
Coverage and documentation requirements can vary by vaccine, age and program.
The same clinic number can help with questions about locating vaccination records.
Buncombe County WIC locations, appointments and documents
Buncombe County WIC provides nutrition support to qualifying pregnant people, postpartum and breastfeeding participants, infants and young children. The county says appointments may be in person, by phone or remote depending on the situation.
| WIC location | Address | Phone / note |
|---|---|---|
| HHS WIC Clinic | 40 Coxe Avenue, Asheville, NC 28801 | 828-250-5000 · Monday-Friday, 8 AM-5 PM. |
| HHS WIC Clinic West | 339 Leicester Highway, Suite 120, Asheville, NC 28806 | 828-250-5000 · Monday-Friday, 8 AM-5 PM. |
| MAHEC OB-GYN Specialists | 119 Hendersonville Road, Asheville, NC 28803 | 828-771-5436 · for MAHEC OB-GYN patients and their children. |
What to prepare for a WIC appointment
Communicable disease, STI testing and TB services
The Buncombe County Communicable Disease Program handles surveillance, investigation and prevention of reportable diseases and works with healthcare providers, laboratories and hospitals. The current phone is 828-250-5109.
Call for reportable-disease questions, exposure guidance and public-health investigations.
The STI Testing & Treatment Clinic is listed at 40 Coxe Avenue with phone 828-250-5109.
The county provides TB evaluation and treatment services, including physician review and treatment for disease/infection.
Birth, death and marriage certificates are at 205 College Street
For certified birth, death and marriage records, the current public-facing county route is the Buncombe County Register of Deeds/Vital Records office at 205 College Street, Asheville, phone 828-250-4300.
The office is open Monday-Friday from 8 AM-5 PM. Certified records can only be issued to eligible immediate family members or an authorized agent under the county’s published rules.
Current county fee: $10 for a standard certified copy. Bring valid photo ID for an in-person request.
Current county fee: $10. In-person, online and mail ordering routes are published by the county.
Current certified-copy fee is $10. Marriage-license applications are a separate process and fee.
North Carolina statewide birth certificate option
The Buncombe County Register of Deeds can issue certain birth certificates from North Carolina’s statewide birth database for people born in North Carolina from 1971 forward. The county lists a $24 fee for this statewide service and publishes exclusions for cases such as pre-1971 births, adoptions, delayed registrations and some incorrect/incomplete birth facts.
Septic systems, wells, food permits and Environmental Health
Buncombe County Environmental Health is separate from the main Coxe Avenue clinical-services counter. Its current office listing is 35 Woodfin Street, Asheville, NC 28801, with phone 828-250-5016 and Monday-Friday hours of 8 AM-5 PM.
Applications require property information. The county currently instructs applicants to include the parcel identification number and property plat.
Environmental Health handles well permitting/inspection and offers well-water sampling services.
Plan reviews, permits and inspections cover qualifying food establishments, lodging and related regulated facilities.
Current environmental-health fee examples
| Service | Published fee | Important note |
|---|---|---|
| Residential/commercial improvement permit | $400 first 500 gallons | Additional capacity can add fees under the published schedule. |
| Septic system repair | No county fee listed | Other project costs or requirements may still apply. |
| Existing system inspection | $100 | Confirm current FY2027 schedule before paying. |
| Well permit | $350 | Application documentation is required. |
| Bacterial well-water site visit | $75 | Testing options have separate fee levels. |
| New food-service plan review | $250 | Food-service applications should be submitted before the planned opening. |
Buncombe County is actively publishing measles guidance in 2026
As of September 30, 2026, Buncombe County’s current Public Health pages report positive measles cases and emphasize checking vaccination or immunity status. The county says two MMR doses provide strong protection and advises people who believe they were exposed to avoid unnecessary contact with others while getting guidance.
If you do not have a healthcare provider and have possible measles symptoms or exposure questions, Buncombe County directs residents to Communicable Disease at 828-250-5109.
What to bring so you do not make two trips downtown
Three Asheville addresses to keep straight
40 Coxe Avenue, Asheville, NC 28801. Clinical Services, vaccines, WIC, communicable disease and related public-health programs.
35 Woodfin Street, Asheville, NC 28801. Septic, wells, food/lodging and environmental-health permitting.
205 College Street, Asheville, NC 28801. Certified birth, death and marriage records through Register of Deeds.
Official Buncombe County pages to check before acting
Use these county pages to confirm current clinic schedules, fees, forms, alerts and program rules before you travel or submit personal information.
Buncombe County Health Department FAQs
What is the Buncombe County Health Department phone number?
The main Buncombe County Public Health/Clinical Services number is 828-250-5000. The broader Health & Human Services administrative number is 828-250-5500.
Where is the Buncombe County Health Department?
Main Public Health clinical services are at 40 Coxe Avenue, Asheville, NC 28801. Environmental Health and Vital Records use separate downtown Asheville locations.
What are Buncombe County Public Health hours?
The main Public Health office is listed as open Monday through Friday from 8 AM to 5 PM. Program-specific appointment and walk-in hours can differ.
What is the Buncombe County immunization clinic phone number?
The Immunization Clinic phone number is 828-250-5096. The clinic is at 40 Coxe Avenue and offers both appointments and published weekday walk-in periods.
Can I get WIC through Buncombe County Health Department?
Yes. Buncombe County operates WIC through its Public Health system. The main appointment number is 828-250-5000, and current WIC sites include 40 Coxe Avenue and BCHHS-West at 339 Leicester Highway, Suite 120.
Where do I get a Buncombe County birth certificate?
Current certified birth certificates are purchased through Buncombe County Vital Records/Register of Deeds at 205 College Street, Asheville, phone 828-250-4300.
How much is a Buncombe County certified birth certificate?
The county currently lists a standard certified birth certificate at $10. A statewide North Carolina birth certificate issued through the county under qualifying conditions is listed at $24.
Who handles septic permits in Buncombe County?
Buncombe County Environmental Health handles septic and well permitting. The office is at 35 Woodfin Street, Asheville, and the phone number is 828-250-5016.
Who do I call about communicable disease in Buncombe County?
Call Buncombe County Communicable Disease at 828-250-5109 for reportable-disease and exposure-related public-health questions.
Does Buncombe County Health Department offer STI testing?
Yes. Buncombe County lists an STI Testing & Treatment Clinic at 40 Coxe Avenue. Call 828-250-5109 for current scheduling and service information.