| LCA CASE NUMBER | I-200-20238-786990 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-08-25 |
| DECISION DATE | 2020-09-01 |
| ORIGINAL CERT DATE | 2020-09-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-03 |
| END DATE | 2023-09-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | COFFEYVILLE REGIONAL MEDICAL CENTER, INC. |
| EMPLOYER ADDRESS1 | 1400 W. 4TH STREET |
| EMPLOYER CITY | COFFEYVILLE |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67337 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16202511200 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kastler |
| EMPLOYER POC FIRST NAME | Michelle |
| EMPLOYER POC JOB TITLE | HR Generalist |
| EMPLOYER POC ADDRESS1 | 1400 W. 4th Street |
| EMPLOYER POC CITY | Coffeyville |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67337 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16202511200 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Zaritzky |
| AGENT ATTORNEY ADDRESS1 | 201 North 13th Street |
| AGENT ATTORNEY ADDRESS2 | Suite B |
| AGENT ATTORNEY CITY | Lincoln |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68508 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023289899.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Brown Immigration Law P.C., L.L.O. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1400 W. 4th Street |
| LCA CASE WORKLOC1 CITY | Coffeyville |
| WORKSITE COUNTY | COFFEY |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67337 |
| LCA CASE WAGE RATE FROM | 230000.0 |
| LCA CASE WAGE RATE TO | 270000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
