| LCA CASE NUMBER | I-200-17010-274233 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/11/2017 |
| DECISION DATE | 1/18/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/1/2017 |
| EMPLOYMENT END DATE | 3/31/2020 |
| LCA CASE EMPLOYER NAME | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| EMPLOYER BUSINESS DBA | PEMISCOT MEMORIAL HEALTH SYSTEMS |
| EMPLOYER ADDRESS | 946 EAST REED STREET |
| EMPLOYER CITY | HAYTI |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63851 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5733593612 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | CRAWFORD, KRISTI |
| AGENT ATTORNEY CITY | PLYMOUTH |
| AGENT ATTORNEY STATE | MI |
| LCA CASE JOB TITLE | GENERAL SURGEON |
| SOC CODE | 29-1067 |
| SOC NAME | SURGEONS |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 187,200.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 370,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | HAYTI |
| WORKSITE COUNTY | PEMISCOT |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 63851 |
