| LCA CASE NUMBER | I-200-16102-858925 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/4/16 |
| DECISION DATE | 5/10/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/31/16 |
| EMPLOYMENT END DATE | 8/30/19 |
| LCA CASE EMPLOYER NAME | PROVIDENCE COMMUNITY HEALTH CENTERS, INC. |
| EMPLOYER ADDRESS | 375 ALLENS AVENUE |
| EMPLOYER CITY | PROVIDENCE |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 02905 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4014440400 |
| AGENT ATTORNEY NAME | BROWN, THOMAS |
| AGENT ATTORNEY CITY | CRANSTON |
| AGENT ATTORNEY STATE | RI |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 116,584.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 170,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | PROVIDENCE |
| WORKSITE COUNTY | PROVIDENCE |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 02908 |
