| LCA CASE NUMBER | I-200-21055-098710 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-24 |
| DECISION DATE | 2021-03-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-07 |
| END DATE | 2024-07-06 |
| 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 | COMMUNITY HEALTH NETWORK, INC. |
| EMPLOYER ADDRESS1 | 7240 SHADELAND STATION |
| EMPLOYER ADDRESS2 | SUITE 200 |
| EMPLOYER CITY | INDIANAPOLIS |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46256 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | INDIANA |
| EMPLOYER PHONE | 13176219372 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kunzer |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC JOB TITLE | EVP President Community Physician Network |
| EMPLOYER POC ADDRESS 1 | 7240 SHADELAND STATION |
| EMPLOYER POC ADDRESS 2 | SUITE 300 |
| EMPLOYER POC CITY | INDIANAPOLIS |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46256 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13176219372 |
| EMPLOYER POC EMAIL | atrussel@ecommunity.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kelley |
| AGENT ATTORNEY FIRST NAME | Kristin |
| AGENT ATTORNEY ADDRESS1 | One American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2900 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13172362284 |
| AGENT ATTORNEY EMAIL ADDRESS | dickson@icemiller.com |
| LAWFIRM NAME BUSINESS NAME | Ice Miller LLP |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6910 Hillsdale Ct. |
| LCA CASE WORKLOC1 CITY | Indianapolis |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46250 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE TO | 400000 |
| 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 | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
