| LCA CASE NUMBER | I-200-23102-925176 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-12 |
| DECISION DATE | 2023-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 2 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| TRADE NAME DBA | TBCHS |
| EMPLOYER ADDRESS1 | 15774 STATE STREET |
| EMPLOYER CITY | HILLMAN |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49746 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19897424583 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | BATES |
| EMPLOYER POC FIRST NAME | RICHARD |
| EMPLOYER POC JOB TITLE | Chief Medical Officer/Interim Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 100 N. RIPLEY STREET |
| EMPLOYER POC ADDRESS2 | SUITE E |
| EMPLOYER POC CITY | ALPENA |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49707 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19894643146 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Persinger |
| AGENT ATTORNEY FIRST NAME | Daniel |
| AGENT ATTORNEY ADDRESS1 | 150 Ottawa Avenue NW |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16164055461 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Warner Norcross + Judd |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Thunder Bay Community Health Service, Inc |
| WORKSITE ADDRESS1 | 11899 M-32 WEST |
| LCA CASE WORKLOC1 CITY | ATLANTA |
| WORKSITE COUNTY | MONTMORENCY |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49709 |
| LCA CASE WAGE RATE FROM | 265000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 221395 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
