| LCA CASE NUMBER | I-200-21018-018901 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-18 |
| DECISION DATE | 2021-01-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Chiricahua Community Health Centers, Inc. |
| EMPLOYER ADDRESS1 | 1205 F Avenue |
| EMPLOYER CITY | Douglas |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85607 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15204593012 |
| EMPLOYER PHONE EXT | 7527 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Gomez |
| EMPLOYER POC FIRST NAME | Bonnie |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 115 Calle Portal |
| EMPLOYER POC CITY | Sierra Vista |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85635 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15204593012 |
| EMPLOYER POC PHONE EXT | 7527 |
| EMPLOYER POC EMAIL | bogomez@cchci.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kelly |
| AGENT ATTORNEY FIRST NAME | Dayna |
| AGENT ATTORNEY MIDDLE NAME | Jo |
| AGENT ATTORNEY ADDRESS1 | 250 E. Winmore Ave |
| AGENT ATTORNEY CITY | Chapel Hill |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27516 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19199697200 |
| AGENT ATTORNEY EMAIL ADDRESS | INFO@DKELLY.COM |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dayna Kelly, PC |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 335 S Ocotillo |
| LCA CASE WORKLOC1 CITY | Benson |
| WORKSITE COUNTY | COCHISE |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85602 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 296504 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
