| LCA CASE NUMBER | I-200-19303-116741 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-30 |
| DECISION DATE | 2019-11-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-11 |
| END DATE | 2022-11-10 |
| 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 | Phelps County Regional Medical Center |
| TRADE NAME DBA | Phelps Health |
| EMPLOYER ADDRESS1 | 1000 West 10th Street |
| EMPLOYER CITY | Rolla |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +15734587611 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rush |
| EMPLOYER POC FIRST NAME | Christina |
| EMPLOYER POC MIDDLE NAME | Marie |
| EMPLOYER POC JOB TITLE | Privacy and Immigration Specialist |
| EMPLOYER POC ADDRESS1 | 1000 West 10th Street |
| EMPLOYER POC CITY | Rolla |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 65401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +15734587911 |
| EMPLOYER POC EMAIL | crush@phelpshealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Gearhart |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Ward |
| AGENT ATTORNEY ADDRESS1 | 600 Washington Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Saint Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13144441394.0 |
| AGENT ATTORNEY EMAIL ADDRESS | dgearhart@lewisrice.com |
| LAWFIRM NAME BUSINESS NAME | Lewis Rice LLC |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | MISSOURI |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Phelps Health |
| WORKSITE ADDRESS1 | 1050 West 10th Street |
| LCA CASE WORKLOC1 CITY | Rolla |
| WORKSITE COUNTY | PHELPS |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65401 |
| LCA CASE WAGE RATE FROM | 221500.0 |
| LCA CASE WAGE RATE TO | 255000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 221478.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
