| LCA CASE NUMBER | I-200-20189-699069 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-07 |
| DECISION DATE | 2020-07-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-03 |
| END DATE | 2023-08-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Valley Citizens' for Healthcare, Inc. |
| TRADE NAME DBA | Rio Grande Hospital |
| EMPLOYER ADDRESS1 | 310 County Road 14 |
| EMPLOYER CITY | Del Norte |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 81132 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17196572510 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Harms |
| EMPLOYER POC FIRST NAME | Arlene |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 310 County Road 14 |
| EMPLOYER POC CITY | Del Norte |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 81132 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17196572510 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | TUNGOL |
| AGENT ATTORNEY FIRST NAME | RENATO |
| AGENT ATTORNEY MIDDLE NAME | DUMAGAN |
| AGENT ATTORNEY ADDRESS1 | 7705 FARMINGDALE DRIVE |
| AGENT ATTORNEY CITY | DARIEN |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60561 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16309208983.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Tungol Law Office |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 310 County Road 14 |
| LCA CASE WORKLOC1 CITY | Del Norte |
| WORKSITE COUNTY | RIO GRANDE |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 81132 |
| LCA CASE WAGE RATE FROM | 250000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 222747.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
