| LCA CASE NUMBER | I-200-21043-073704 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-12 |
| DECISION DATE | 2021-02-22 |
| 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 | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-01 |
| END DATE | 2024-02-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | COMMUNITY HEALTH SERVICES |
| EMPLOYER ADDRESS1 | 2221 HAYES AVENUE |
| EMPLOYER CITY | Fremont |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43420 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14193348943 |
| EMPLOYER PHONE EXT | 223 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Garza |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS 1 | 2221 HAYES AVENUE |
| EMPLOYER POC CITY | Fremont |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43420 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14193348943 |
| EMPLOYER POC PHONE EXT | 223 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2221 Hayes Ave. |
| LCA CASE WORKLOC1 CITY | Fremont |
| WORKSITE COUNTY | SANDUSKY |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43420 |
| LCA CASE WAGE RATE FROM | 210000 |
| LCA CASE WAGE RATE TO | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | PEARSON |
| PREPARER FIRST NAME | JEFF |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Pearson Associates |
| PREPARER EMAIL | [email protected] |
