Located in Sunoe 1-chome adjacent to Otaru Kyokai Hospital, the Otaru City Night Emergency Medical Center is a nighttime emergency medical facility operated by the Otaru Medical Association under city commission. The center provides initial emergency care for internal medicine (including pediatrics) and surgical cases, primarily focusing on the diagnosis and treatment of sudden illnesses occurring at night. Operating hours are from 6:00 PM to 7:00 AM on weekdays and Saturdays, and until 9:00 AM on Sundays and holidays, with Saturday appointments accepted from 2:00 PM. This serves as a safety net for those unable to visit their regular physician during the day. The center is equipped with multilingual support including English and Korean, creating an accessible environment for those requiring non-Japanese language assistance. Additionally, with parking facilities and barrier-free access, individuals requiring physical support can use the center with confidence. The center handles initial emergency care for relatively mild conditions not requiring hospitalization or surgery. Due to the nature of emergency services, examinations and prescribed medications are temporary measures. When hospitalization or specialized treatment is deemed necessary, there is a system in place for referral and coordination with secondary hospitals, making it a vital hub supporting nighttime emergency medical care in Otaru City.