| LCA CASE NUMBER | I-200-21088-180214 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-29 |
| DECISION DATE | 2021-04-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Endocrinologist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Benefis Health System Inc |
| EMPLOYER ADDRESS1 | 1101 26th Street South |
| EMPLOYER CITY | Great Falls |
| EMPLOYER STATE | MT |
| EMPLOYER POSTAL CODE | 59405 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14067318882 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Peppenger |
| EMPLOYER POC FIRST NAME | Tahnee |
| EMPLOYER POC JOB TITLE | Provider Recruiter |
| EMPLOYER POC ADDRESS 1 | 1101 26th Street South |
| EMPLOYER POC CITY | Great Falls |
| EMPLOYER POC STATE | MT |
| EMPLOYER POC POSTAL CODE | 59405 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14067318344 |
| EMPLOYER POC EMAIL | tahneepeppenger@benefis.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mojica |
| AGENT ATTORNEY FIRST NAME | Jenny |
| AGENT ATTORNEY MIDDLE NAME | Bouta |
| AGENT ATTORNEY ADDRESS1 | 200 South Sixth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 4000 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927100 |
| AGENT ATTORNEY EMAIL ADDRESS | jmojica@fredlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1401 25th Street South |
| LCA CASE WORKLOC1 CITY | Great Falls |
| WORKSITE COUNTY | CASCADE |
| LCA CASE WORKLOC1 STATE | MT |
| WORKSITE POSTAL CODE | 59405 |
| LCA CASE WAGE RATE FROM | 273000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 142958 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
