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Appalachian District Health Center - Alleghany County — Sparta, NC

Appalachian District Health Center - Alleghany County is a community health center clinic at 157 Health Services Rd, Sparta, NC 28675, open 52 hours a week. That is 12 more hours than the typical North Carolina clinic (40 a week). It is run by Appalachian District Health Department, which serves 5,435 patients across 3 clinic locations.

Fees are on a sliding scale. What you pay at Appalachian District Health Center - Alleghany County depends on your income and household size, and the clinic bills Medicaid, Medicare and private insurance. Care is not free, and every patient is seen regardless of ability to pay. Among Appalachian District Health Department patients, 26% are uninsured, 28% have Medicaid or CHIP, 15% have Medicare and 31% have private insurance. Call (336) 372-5641 to book and ask about your plan. How sliding-fee pricing works.

Care and screenings at Appalachian District Health Department

Patients came to Appalachian District Health Department for these services in 2025. The numbers cover the whole health center, not only this clinic.

ServicePatientsWhat it counts
Dental care2,668patients had dental exams
Mental health care1,201patients treated for depression or anxiety
Substance use treatment101patients in treatment
Well-child visits398children had checkups
Flu shots445patients vaccinated
Cervical cancer screening331patients tested
Breast cancer screening238patients screened
Family planning600patients served
Diabetes care594patients with diabetes
Blood pressure care1,289patients with hypertension
Asthma care187patients with asthma
HIV testing85patients tested
Hepatitis C testing78patients tested
Childhood lead tests18children tested

Appalachian District Health Department also provides care by telehealth.

Who Appalachian District Health Department serves

5,435 patients used Appalachian District Health Department in 2025. 74% live at or below the poverty line and 93% are at or below twice the poverty line. 93 patients were experiencing homelessness and 112 were veterans.

MeasureThis centerNC medianU.S. medianvs NC
Patients at or below the poverty line74%59%65%+15 pts
Patients at or below 200% of the poverty line93%92%92%+1 pts
MeasureThis centerNC medianU.S. medianvs NC
Uninsured patients26%24%14%+2 pts
Medicaid or CHIP patients28%28%42%In line
Medicare patients15%15%11%In line
Privately insured patients31%25%24%+5 pts

Quality of care at Appalachian District Health Department

Appalachian District Health Department is at or above the North Carolina median on 2 of 7 preventive-care measures. Higher is better on every line.

MeasureThis centerNC medianU.S. medianvs NC
Adults with high blood pressure under control50%70%68%−20 pts
Women 52–74 screened for breast cancer58%59%54%−1 pts
Women 24–64 screened for cervical cancer56%54%54%+3 pts
Adults 46–75 screened for colorectal cancer26%49%44%−22 pts
Patients 12+ screened for depression88%76%77%+12 pts
Adults assessed for tobacco use82%87%86%−5 pts
High-risk adults on statin therapy74%80%79%−6 pts

Staffing at Appalachian District Health Department

The health center employs 69 full-time-equivalent staff, including 7 physicians, nurse practitioners, physician assistants and midwives, 8 dental staff and 5 mental health staff. That is 822 patients per clinical provider against the North Carolina median of 807 and the U.S. median of 930. Patients made 19,260 visits, about 3.5 per patient.

Patients from ZIP 28675

1,530 Appalachian District Health Department patients live in ZIP 28675, and 23% of them are uninsured. Other health centers also serve this ZIP:

Community health centers near Appalachian District Health Center - Alleghany County

Tri-Area Community Health at Fries

109 Carroll Dr, Fries, VA 24330 · 18 mi away
39 hours a week · (866) 942-0401 · Run by Tri-Area Community Health

Tri-Area Community Health - Grayson Highlands

6436 Troutdale Hwy, Troutdale, VA 24378 · 18 mi away
39 hours a week · (866) 942-0401 · Run by Tri-Area Community Health

Wilkes Community Health Center (Wilkes County Health Department)

306 College Street, Wilkesboro, NC 28697 · 24 mi away
45.5 hours a week · (336) 651-7450 · Run by Wilkes County of

Tri-Area Community Health at Cana

11945 Fancy Gap Hwy, Cana, VA 24317 · 27 mi away
39 hours a week · (866) 942-0401 · Run by Tri-Area Community Health

Konnarock Family Health Center

20471 Azen Rd, Damascus, VA 24236 · 30 mi away

More Appalachian District Health Department locations

Appalachian District Health Department Dental Center

225 Court St, Jefferson, NC 28640
39 hours a week · 336-264-9449 x2131

AppHealthCare -Ashe Health Center

413 McConnell St, Jefferson, NC 28640
40 hours a week · (336) 246-9449

More community health centers in Sparta and across North Carolina.