| LCA CASE NUMBER | I-200-17059-212821 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/28/2017 |
| DECISION DATE | 3/6/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/2017 |
| EMPLOYMENT END DATE | 6/30/2020 |
| LCA CASE EMPLOYER NAME | TAHLEQUAH HOSPITAL AUTHORITY |
| EMPLOYER BUSINESS DBA | NORTHEASTERN HEALTH SYSTEM |
| EMPLOYER ADDRESS | 1400 E. DOWNING STREET |
| EMPLOYER CITY | TAHLEQUAH |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 74465 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 9184560641 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | STUMP, T. |
| AGENT ATTORNEY CITY | OKLAHOMA CITY |
| AGENT ATTORNEY STATE | OK |
| LCA CASE JOB TITLE | PULMONARY/CRITICAL CARE SERVICES PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 269,131.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 269,131.00 |
| LCA CASE WAGE RATE TO | 300,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | TAHLEQUAH |
| WORKSITE COUNTY | CHEROKEE |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74464 |
