| LCA CASE NUMBER | I-200-22200-361802 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-19 |
| DECISION DATE | 2022-07-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-01-18 |
| END DATE | 2026-01-17 |
| 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 | Range Regional Health Services |
| EMPLOYER ADDRESS1 | 750 East 34th Street |
| EMPLOYER CITY | Hibbing |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55746 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12182624881 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Fagan |
| EMPLOYER POC FIRST NAME | Brenda |
| EMPLOYER POC JOB TITLE | Senior Human Resources Generalist |
| EMPLOYER POC ADDRESS1 | 750 East 34th Street |
| EMPLOYER POC CITY | Hibbing |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55746 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12183626467 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peterson |
| AGENT ATTORNEY FIRST NAME | Craig |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 3020 Woodbury Drive |
| AGENT ATTORNEY CITY | Woodbury |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55129 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123518091 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | The Law Firm of Craig J. Peterson L.L.C. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 750 East 34th Street |
| LCA CASE WORKLOC1 CITY | Hibbing |
| WORKSITE COUNTY | ST LOUIS |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55746 |
| LCA CASE WAGE RATE FROM | 99507 |
| LCA CASE WAGE RATE TO | 126131 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99507 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Peterson |
| PREPARER FIRST NAME | Craig |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | The Law Firm of Craig J. Peterson LLC |
| PREPARER EMAIL | [email protected] |
