| LCA CASE NUMBER | I-200-19268-699174 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-30 |
| DECISION DATE | 2019-10-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | INTERNAL MEDICINE PHYSICIAN |
| SOC CODE | 29-1063 |
| SOC TITLE | INTERNISTS, GENERAL |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-28 |
| END DATE | 2022-10-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | COMMUNITY HEALTH SERVICES |
| EMPLOYER ADDRESS1 | 2221 HAYES AVENUE |
| EMPLOYER CITY | FREMONT |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43420 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4193348943 |
| EMPLOYER PHONE EXT | 223.0 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | TIPPLE |
| EMPLOYER POC FIRST NAME | TIFFANY |
| EMPLOYER POC JOB TITLE | DIRECTOR OF HR |
| EMPLOYER POC ADDRESS1 | 2221 HAYES AVENUE |
| EMPLOYER POC CITY | FREMONT |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43420 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 4193348943 |
| EMPLOYER POC PHONE EXT | 223.0 |
| EMPLOYER POC EMAIL | TTIPPLE@FREMONTCHS.COM |
| AGENT REPRESENTING EMPLOYER | N |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 407 Independence Dr. |
| LCA CASE WORKLOC1 CITY | Napoleon |
| WORKSITE COUNTY | Henry |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43545 |
| LCA CASE WAGE RATE FROM | 190000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 134139.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 2020 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | PEARSON |
| PREPARER FIRST NAME | JEFFREY |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | PEARSON ASSOCIATES |
| PREPARER EMAIL | JPEARSONASSOCIATES@GMAIL.COM |
