Opening a healthcare facility such as a clinic is a promising investment opportunity for doctors and investors alike. However, establishing a clinic is not the same as opening a regular trading business. The health sector has strict regulations governing building standards, infrastructure feasibility, human resource qualifications, and the fulfillment of official operational permits.

The government, through the Ministry of Health and the OSS RBA system, continues to tighten licensing supervision to ensure patient safety. For those of you planning to build a medical facility this year, understanding the requirements for establishing a primary and main clinic is a crucial step so that business operations can run legally without the risk of closure.

Main Differences Between a Primary Clinic and a Main Clinic

Before processing licensing documents, prospective owners must determine the classification of the clinic to be established. The Minister of Health Regulation divides clinic types based on the level of services provided:

  • Primary Clinic: Provides basic medical services handled by general practitioners and/or dentists. This clinic can provide outpatient and inpatient services.
  • Main Clinic: Provides specialist medical services or sub-specialist services handled by specialist doctors and/or specialist dentists. Like primary clinics, main clinics can also be equipped with inpatient facilities.

Determining the type of clinic will later determine the KBLI code that must be selected in the OSS RBA system as well as the determination of the Medical Technical Person in Charge.

General and Technical Requirements for Establishing a Clinic in 2026

To obtain a Clinic Operational Permit from the local Health Office, business actors must fulfill four basic requirement components in accordance with applicable regulations:

1. Business Entity Legality and KBLI

  • Clinics can be established by individuals (specifically for primary clinics) or legal entities such as PTs or cooperatives.
  • KBLI 86105: Private Clinic Activities.
  • Have an NIB registered in the OSS RBA system with an appropriate risk level.

2. Location and Building Standards

  • The building must be permanent and not physically combined with a private residence or other non-related businesses.
  • Meet safety, lighting, air circulation, and spatial layout requirements, including registration room, waiting room, doctor consultation room, treatment room, and patient toilet.
  • Have B3 medical waste management in cooperation with a licensed third party.

3. Human Resource Qualifications

  • Technical Person in Charge: Must be a general practitioner/dentist (for primary) or specialist doctor (for main) who holds an active Registration Certificate (STR) and Practice License (SIP) at the clinic.
  • Medical personnel and supporting health workers (nurses, midwives, or pharmacists) according to the service portions provided.

4. Medical Equipment and Medicine Feasibility

  • Medical equipment must be calibrated and meet minimum clinic service standards.
  • Have a pharmacy room/unit or cooperate with an official pharmacy if providing prescription drugs.

Flow of Clinic Operational Permit Processing via OSS RBA

The clinic permit issuance process is carried out in an integrated manner through the OSS RBA digital gateway, which is integrated with SIMBG and the local Regional Health Office/PTSP. Here is the official flow:

  1. Basic Legality Processing: Creation of business entity establishment deed through PT Establishment or Sole Proprietorship PT Establishment services, followed by the issuance of Corporate NPWP and OSS Access Rights.
  2. NIB Issuance & Requirement Fulfillment: Submitting NIB with Clinic KBLI, Environmental Documents (SPPL/UKL-UPL), and Standard Certificates.
  3. Technical & Field Verification: The technical team from the Health Office and PTSP will conduct a physical inspection at the clinic location to check the conformity of the building, spatial layout, readiness of medical equipment, and HR documents.
  4. Issuance of Standard Certificate / Operational Permit: After technical verification is approved, the Standard Certificate will be verified in the OSS RBA system and the official operational permit is declared active.

FAQ About Clinic Establishment Permits

Can foreign doctors or foreign investors establish a clinic in Indonesia?
Yes, but the establishment of a clinic by Foreign Investment (PMA) has share ownership limitations and must be in the form of a PT legal entity with fulfillment of special qualifications according to current investment regulations.

How long is the validity period of a clinic operational permit?
A clinic operational permit is valid for 5 (five) years and must be renewed before the validity period expires by submitting an evaluation application to the Health Office.

Is an inpatient facility mandatory for a primary clinic?
Not mandatory. A primary clinic can operate with only an outpatient scheme. Inpatient facilities are optional but carry the consequence of having to provide inpatient rooms, patient beds, and additional supporting HR criteria.

Manage Your Clinic Licensing Without Obstacles with Awan Kusuma Legalitas

Building a healthcare facility requires extra precision in fulfilling medical spatial requirements and complex licensing bureaucracy. If you want to focus on medical operational readiness and patient service management without worrying about the complicated verification process of the Health Office and OSS system, the Awan Kusuma Legalitas team is ready to assist the entire process from start to permit issuance.

We are ready to help with the comprehensive preparation of your healthcare facility legality through services:

  • Business Licensing and Standard Certificate Processing specifically through Clinic services.
  • Establishment of official medical business legal entities through PT Establishment.
  • Issuance of business identity and health sector registration through NIB.
  • Supporting business domicile facilities for medical businesses through Virtual Office services.

Ready to realize your dream clinic establishment plan this year? Contact the Awan Kusuma Legalitas Team via WhatsApp now for an integrated health legality consultation session!