| LCA CASE NUMBER | I-200-21189-451242 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-08 |
| DECISION DATE | 2021-07-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Family Medicine) |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-20 |
| END DATE | 2024-08-19 |
| 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 | Hamilton Community Health Network, Inc. |
| EMPLOYER ADDRESS1 | 225 East 5th Street |
| EMPLOYER CITY | Flint |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48502 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18104064937 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Rogers |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 225 East 5th Street |
| EMPLOYER POC CITY | Flint |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48502 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18104064937 |
| EMPLOYER POC EMAIL | lrogers@hamiltonchn.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kim |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Lee |
| AGENT ATTORNEY ADDRESS1 | 500 North Meridian Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13179771418 |
| AGENT ATTORNEY EMAIL ADDRESS | gshelton@hallrender.com |
| LAWFIRM NAME BUSINESS NAME | Hall, Render, Killian, Heath & Lyman, P.C. |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1570 Suncrest Drive |
| LCA CASE WORKLOC1 CITY | Lapeer |
| WORKSITE COUNTY | LAPEER |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48446 |
| LCA CASE WAGE RATE FROM | 170000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 142813 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
