Maruseppu Hirayama Clinic, located in Maruseppu, Engaru Town, Abashiri District, Hokkaido, is a community-based medical facility that opened in April 2018 as a home care support clinic. Centered around internal medicine, pediatrics, and rehabilitation, the clinic provides primary care, offering comprehensive treatment ranging from lifestyle diseases and respiratory/gastrointestinal disorders to pediatric allergic conditions. The clinic also performs ultrasound examinations and transnasal endoscopy, actively engaged in preventive medicine including memory clinic, smoking cessation clinic, fever clinic, specific health checkups, cancer screenings, and vaccinations. Beyond outpatient care, the clinic offers home visit medical services for elderly individuals and people with disabilities who have difficulty visiting the clinic, supporting community healthcare 24/7 with services including end-of-life palliative care and home death care. Conveniently located a one-minute walk from JR Maruseppu Station, the facility features parking, barrier-free access, and multilingual support including English. The clinic also accepts credit cards and electronic payments, with careful attention to patient convenience.