Located in Yokka-cho, Uonuma City, Niigata Prefecture, Niwayama Clinic has been serving as a local internal medicine specialist clinic for three generations. The clinic provides a wide range of primary to tertiary care, with a system in place for prompt referrals to appropriate medical facilities when necessary. Online consultations are available for patients with lifestyle diseases, striving to provide accessible medical care. Situated a 12-minute walk from JR Joetsu Line Koide Station, the clinic offers a convenient environment equipped with electronic payment and parking facilities. In addition to amenities such as English support and barrier-free access, the clinic is advancing medical digital transformation through online eligibility verification, electronic prescription issuance, and electronic medical record information sharing services. The clinic actively uses generic medications and has a system for medical information acquisition incentives. Responding to the needs of local residents who have difficulty accessing medical care, the clinic is creating the necessary healthcare conditions for the region.