| LCA CASE NUMBER | I-200-20181-684807 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-29 |
| DECISION DATE | 2020-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | Dubois Regional Medical Center, Inc. |
| TRADE NAME DBA | Penn Highland Dubios |
| EMPLOYER ADDRESS1 | 100 Hospital Avenue |
| EMPLOYER ADDRESS2 | P.O. Box 447 |
| EMPLOYER CITY | Dubois |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18143717700 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Michelle |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS1 | 100 Hospital Avenue |
| EMPLOYER POC CITY | Dubois |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18163712200 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Castrodale |
| AGENT ATTORNEY FIRST NAME | Alexander |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 625 Liberty Avenue |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222-3152 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122974712.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Dentons Cohen & Grigby P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1100 Million Dollar Highway |
| LCA CASE WORKLOC1 CITY | St. Marys |
| WORKSITE COUNTY | ELK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15857 |
| LCA CASE WAGE RATE FROM | 270000.0 |
| 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 | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
