Located in Nagano, Shigaraki-cho, Koka City, Shiga Prefecture, Koka City Shigaraki Central Hospital is a medical facility offering General Practice, Psychosomatic Medicine, Otolaryngology, and Rehabilitation. The hospital began Otolaryngology services in November 2025. The clinic provides English support and accepts credit cards and electronic payments. Facilities include parking and barrier-free accessibility. In December 2025, the hospital introduced the latest endoscopy system from Fujifilm, completely renewing transnasal, upper gastrointestinal, and lower gastrointestinal scopes. An AI-assisted endoscopic imaging system has also been implemented, producing brighter and higher-resolution images for easier detection of minute lesions. During examinations, AI analyzes images in real-time and displays suspicious areas on monitors to support physician diagnosis. The hospital is closed on Saturdays, Sundays, and holidays, as well as January 1-3 and December 29-31.