| LCA CASE NUMBER | I-200-19260-079062 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-09-17 |
| DECISION DATE | 2019-09-23 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2020-01-15 |
| EMPLOYMENT END DATE | 2023-01-14 |
| LCA CASE EMPLOYER NAME | COFFEYVILLE REGIONAL MEDICAL CENTER, INC. |
| EMPLOYER ADDRESS | 1400 W. 4TH STREET |
| EMPLOYER CITY | COFFEYVILLE |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67337 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6202511200 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | DAVIDBROWN |
| AGENT ATTORNEY CITY | LINCOLN |
| AGENT ATTORNEY STATE | NE |
| LCA CASE JOB TITLE | FAMILY PRACTICE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 268237 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 4 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 270000 |
| LCA CASE WAGE RATE TO | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Coffeyville |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67337 |
| WILLFUL VIOLATOR | False |
