| LCA CASE NUMBER | I-200-23102-925459 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-12 |
| DECISION DATE | 2023-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practice Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-01 |
| END DATE | 2026-07-31 |
| 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 | Mid-State Health Center |
| EMPLOYER ADDRESS1 | 101 Boulder Point Drive |
| EMPLOYER ADDRESS2 | Suite 1 |
| EMPLOYER CITY | Plymouth |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03264 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16035364000 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Dennis |
| EMPLOYER POC FIRST NAME | Amy |
| EMPLOYER POC JOB TITLE | Human Resource Director |
| EMPLOYER POC ADDRESS1 | 101 Boulder Point Drive |
| EMPLOYER POC ADDRESS2 | Suite 1 |
| EMPLOYER POC CITY | Plymouth |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03264 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16035364000 |
| EMPLOYER POC PHONE EXT | 1011 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | PO Box 1000 |
| AGENT ATTORNEY CITY | Manchester |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03105-1000 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16032281277 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | GoffWilson, P.A. |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 101 Boulder Point Drive |
| WORKSITE ADDRESS2 | Suite 1 |
| LCA CASE WORKLOC1 CITY | Plymouth |
| WORKSITE COUNTY | PLYMOUTH |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 03264 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
