| LCA CASE NUMBER | I-200-21104-223032 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-14 |
| DECISION DATE | 2021-04-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN FAMILY MEDICINE |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY |
| TRADE NAME DBA | MASON GENERAL HOSPITAL |
| EMPLOYER ADDRESS1 | 901 MOUNTAIN VIEW DRIVE |
| EMPLOYER ADDRESS2 | BUILDING 1 |
| EMPLOYER CITY | SHELTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98584 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13604279549 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | FITCHITT |
| EMPLOYER POC FIRST NAME | JENNIFER |
| EMPLOYER POC JOB TITLE | DIRECTOR OF MEDICAL STAFF SERVICES |
| EMPLOYER POC ADDRESS 1 | 901 MOUNTAIN VIEW DRIVE |
| EMPLOYER POC ADDRESS 2 | BUILDING 1 |
| EMPLOYER POC CITY | SHELTON |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98584 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13604279549 |
| EMPLOYER POC EMAIL | JFITCHITT@MASONGENERAL.COM |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 901 Mountain View Drive |
| WORKSITE ADDRESS2 | Building 1 |
| LCA CASE WORKLOC1 CITY | Shelton |
| WORKSITE COUNTY | MASON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98584 |
| LCA CASE WAGE RATE FROM | 201635 |
| LCA CASE WAGE RATE TO | 265000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 201635 |
| 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 |
