| LCA CASE NUMBER | I-200-20120-526965 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-29 |
| DECISION DATE | 2020-05-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Psychiatrist |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Cumberland County Hospital System, Inc. |
| TRADE NAME DBA | Cape Fear Valley Medical Center |
| EMPLOYER ADDRESS1 | 1638 Owen Drive |
| EMPLOYER CITY | Fayetteville |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19106155152 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Nagowski |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1638 Owen Drive |
| EMPLOYER POC CITY | Fayetteville |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28304 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19106155812 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Stover |
| AGENT ATTORNEY FIRST NAME | Hayes |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 210 Sixth Avenue |
| AGENT ATTORNEY ADDRESS2 | Floor 11 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222-2613 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14123556476.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | K&L Gates LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1638 Owen Drive |
| LCA CASE WORKLOC1 CITY | Fayetteville |
| WORKSITE COUNTY | CUMBERLAND |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28304 |
| LCA CASE WAGE RATE FROM | 240000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 201802.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Stover |
| PREPARER FIRST NAME | Hayes |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | K&L Gates LLP |
| PREPARER EMAIL | [email protected] |
