About Us

Noble County Health Department 


The Noble County Health Department (NCHD) has been in existence since 1920, and while there have been many changes in public health since then, the mission remains the same: To provide quality services that promote wellness, prevent disease and plan a healthy future for our community.” As an Ohio political subdivision, we serve over 14,645 Noble County residents and tenfold that number in our multi-county programs, the largest of which reaches 19 counties in Southeastern Ohio.

 These comprehensive programs require determined fiscal, human, leadership and management resources. The staff at of the NCHD have extensive grant experience, a continued capacity to adapt to change and an expertise in program implementation. In summary, the NCHD has a proven history and a passion to effectively partner, manage and implement the public health programs that will benefit our citizens now and into the future.


Shawn E. Ray, REHS, MPH – Health Commissioner

Shari Rayner, RN, BSN – Director of Nursing

Kirby L. Moore, REHS, MPH – Director of Environmental Health /
Deputy Health Commissioner


Linda VanFleet - President

R. Alan Spencer, D.O. – Vice President

Teresa Stewart

Nancy Snook

Michelle Carter


To provide quality services that promote wellness, prevent disease and plan a healthy future for our community.


The vision of the Department Directors, Board of Health Members and all the staff of the NCHD is “To have a thriving community where residents achieve optimal health.” 


The word RESPECT serves as the reminder of the seven qualities required and utilized to work toward this vision every day.

Reliable- Dedicating ourselves to consistent and compassionate care

Excellent- Committing to high quality service

Service-minded- Willing to adapt to changes and find innovative solutions

Professional- Demonstrating caring attitudes by highly-skilled employees

Ethical- Conducting business with integrity and accountability

Collaborative- Enhancing relationships with our community partners

Taking care of our own- Ensuring services are available in, for and by our community.