| LCA CASE NUMBER | I-200-15364-709449 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/6/16 |
| DECISION DATE | 1/12/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 6/30/19 |
| LCA CASE EMPLOYER NAME | COFFEYVILLE REGIONAL MEDICAL CENTER INC |
| EMPLOYER ADDRESS | 1400 W. 4TH STREET |
| EMPLOYER CITY | COFFEYVILLE |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67337 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 6202511200 |
| AGENT ATTORNEY NAME | BROWN, DAVID |
| AGENT ATTORNEY CITY | LINCOLN |
| AGENT ATTORNEY STATE | NE |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 6221 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 176,384.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 177,000.00 |
| LCA CASE WAGE RATE TO | 200,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | COFFEYVILLE |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 67337 |
