| LCA CASE NUMBER | I-200-20140-585152 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-19 |
| DECISION DATE | 2020-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine and Surgical Obstretic Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-31 |
| END DATE | 2023-07-30 |
| 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 | Mercy Medical Center |
| TRADE NAME DBA | CHI St. Alexius Health Williston Medical Center |
| EMPLOYER ADDRESS1 | 1301 15th Avenue West |
| EMPLOYER CITY | Williston |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17017747400 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Willis |
| EMPLOYER POC FIRST NAME | Amanda |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 1301 15th Avenue West |
| EMPLOYER POC CITY | Williston |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17017747400 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bell |
| AGENT ATTORNEY FIRST NAME | Jeffrey |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 900 West 48th Place |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Kansas City |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 64112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MO |
| AGENT ATTORNEY PHONE | 18163604264.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Polsinelli |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1301 15th Ave W |
| LCA CASE WORKLOC1 CITY | Williston |
| WORKSITE COUNTY | WILLIAMS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58801 |
| LCA CASE WAGE RATE FROM | 308000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bell |
| PREPARER FIRST NAME | Jeffrey |
| PREPARER BUSINESS NAME | Polsinelli |
| PREPARER EMAIL | [email protected] |
