| LCA CASE NUMBER | I-200-21169-411471 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-18 |
| DECISION DATE | 2021-06-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-20 |
| END DATE | 2024-09-19 |
| 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 Association |
| TRADE NAME DBA | d/b/a Jackson General Hospital |
| EMPLOYER ADDRESS1 | 122 Pinnell Street |
| EMPLOYER CITY | Ripley |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 25271 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13043722731 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | McCoy |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 122 Pinnell Street |
| EMPLOYER POC CITY | Ripley |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 25271 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13043731507 |
| EMPLOYER POC EMAIL | Brenda.Greene.m@wvumedicine.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wadhwani |
| AGENT ATTORNEY FIRST NAME | Catherine |
| AGENT ATTORNEY MIDDLE NAME | V. |
| AGENT ATTORNEY ADDRESS1 | BNY Mellon Center, 500 Grant Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14123945540 |
| AGENT ATTORNEY EMAIL ADDRESS | cwadhwani@foxrothschild.com |
| LAWFIRM NAME BUSINESS NAME | Fox Rothschild LLP |
|
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Jackson General Hospital, Morad-Hughes Health Center |
| WORKSITE ADDRESS2 | 122 Pinnell Street |
| LCA CASE WORKLOC1 CITY | Ripley |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 25271 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 55806 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
