| LCA CASE NUMBER | I-200-21168-407619 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-17 |
| DECISION DATE | 2021-06-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-31 |
| END DATE | 2024-07-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Baptist Health Services |
| EMPLOYER ADDRESS1 | 1001 Towson Ave |
| EMPLOYER CITY | Fort Smith |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14797091930 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Mitchell |
| EMPLOYER POC FIRST NAME | Brad |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS 1 | 1500 Dodson Ave Suite 35 |
| EMPLOYER POC CITY | Fort Smith |
| EMPLOYER POC STATE | AR |
| EMPLOYER POC POSTAL CODE | 72901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14797091912 |
| EMPLOYER POC EMAIL | Brad.Mitchell@baptist-health.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Borkowski |
| AGENT ATTORNEY FIRST NAME | Misty |
| AGENT ATTORNEY MIDDLE NAME | Wilson |
| AGENT ATTORNEY ADDRESS1 | 500 President Clinton Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Little Rock |
| AGENT ATTORNEY STATE | AR |
| AGENT ATTORNEY POSTAL CODE | 72201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15013719999 |
| AGENT ATTORNEY EMAIL ADDRESS | mborkowski@cgwg.com |
| LAWFIRM NAME BUSINESS NAME | Cross, Gunter, Witherspoon & Galchus, P.C. |
| STATE OF HIGHEST COURT | AR |
| NAME OF HIGHEST STATE COURT | Supreme Court of Arkansas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1001 Towson Avenue |
| LCA CASE WORKLOC1 CITY | Fort Smith |
| WORKSITE COUNTY | SEBASTIAN |
| LCA CASE WORKLOC1 STATE | AR |
| WORKSITE POSTAL CODE | 72901 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 240885 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
