| LCA CASE NUMBER | I-200-21301-673509 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-10-28 |
| DECISION DATE | 2022-03-21 |
| ORIGINAL CERT DATE | 2021-11-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Midwifery (Nurse Midwife) |
| SOC CODE | 29-1161.00 |
| SOC TITLE | Nurse Midwives |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-03 |
| END DATE | 2024-12-31 |
| 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 | Kadlec Regional Medical Center |
| EMPLOYER ADDRESS1 | 888 Swift Blvd |
| EMPLOYER CITY | Richland |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 99352 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15099464611 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Jeanes |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | Salazar |
| EMPLOYER POC JOB TITLE | Immigration Program Manager |
| EMPLOYER POC ADDRESS1 | 1801 Lind Ave SW |
| EMPLOYER POC ADDRESS2 | Pariseau Building 2nd Floor |
| EMPLOYER POC CITY | Renton |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14256156359 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Vo |
| AGENT ATTORNEY FIRST NAME | Betsy |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 1801 Lind Ave SW |
| AGENT ATTORNEY ADDRESS2 | Pariseau Building 2nd Floor |
| AGENT ATTORNEY CITY | Renton |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98057 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14259439907 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Providence Health & Services |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 945 Goethals Dr. Ste. 200 |
| LCA CASE WORKLOC1 CITY | Richland |
| WORKSITE COUNTY | BENTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 99352 |
| LCA CASE WAGE RATE FROM | 112320 |
| LCA CASE WAGE RATE TO | 121077 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112320 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Vo |
| PREPARER FIRST NAME | Betsy |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Providence Health & Services |
| PREPARER EMAIL | [email protected] |
