| LCA CASE NUMBER | I-200-23171-125684 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-19 |
| DECISION DATE | 2023-06-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-24 |
| END DATE | 2026-07-23 |
| 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 | Sanford Clinic North |
| EMPLOYER ADDRESS1 | 801 Broadway N |
| EMPLOYER CITY | Fargo |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58122 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16053232000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Maly |
| EMPLOYER POC FIRST NAME | Shelby |
| EMPLOYER POC MIDDLE NAME | Kate |
| EMPLOYER POC JOB TITLE | Corporate Counsel |
| EMPLOYER POC ADDRESS1 | 1305 W 18th Street |
| EMPLOYER POC CITY | Sioux Falls |
| EMPLOYER POC STATE | SD |
| EMPLOYER POC POSTAL CODE | 57105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16053126505 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Perham Health |
| WORKSITE ADDRESS1 | 1000 Coney St. W |
| LCA CASE WORKLOC1 CITY | Perham |
| WORKSITE COUNTY | OTTER TAIL |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56573 |
| LCA CASE WAGE RATE FROM | 270000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 194584 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
