| LCA CASE NUMBER | I-200-23123-986380 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-02 |
| DECISION DATE | 2023-05-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-06-26 |
| END DATE | 2026-06-25 |
| 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 | Community Health Systems, Inc. |
| EMPLOYER ADDRESS1 | 74 Eclipse Bvld |
| EMPLOYER CITY | Beloit |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53511 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16086659505 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Eggers |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC MIDDLE NAME | L. |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 74 Eclipse Blvd |
| EMPLOYER POC CITY | Beloit |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53511 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16086659505 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ostrom |
| AGENT ATTORNEY FIRST NAME | Caroline |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 825 Nicollet Mall |
| AGENT ATTORNEY ADDRESS2 | Suite 401 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16128221901 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ostrom Law Office, LLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 74 Eclipse Blvd |
| LCA CASE WORKLOC1 CITY | Beloit |
| WORKSITE COUNTY | ROCK |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53511 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 45302 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Hall-Ford |
| PREPARER FIRST NAME | Maura |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Ostrom Law Office, LLC |
| PREPARER EMAIL | [email protected] |
