\ H1B CASE NUMBER I-200-21333-728813



CASE NUNBER: I-200-21333-728813

LCA CASE NUMBERI-200-21333-728813
STATUSCertified
LCA CASE SUBMIT2021-11-29
DECISION DATE2021-12-06
VISA CLASSH-1B
LCA CASE JOB TITLEExecutive Medical Director
SOC CODE29-1069.03
SOC TITLEHospitalists
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2022-02-11
END DATE2025-02-10
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT1
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEMonument Health Rapid City Hospital, Inc.
EMPLOYER ADDRESS1353 Fairmont Boulevard
EMPLOYER CITYRapid City
EMPLOYER STATESD
EMPLOYER POSTAL CODE57701
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE16057191000
NAICS CODE622110
EMPLOYER POC LAST NAMEStark
EMPLOYER POC FIRST NAMECarla
EMPLOYER POC JOB TITLEProvider Relations Manager
EMPLOYER POC ADDRESS1Monument Health Center
EMPLOYER POC ADDRESS22925 Regional Way
EMPLOYER POC CITYRapid City
EMPLOYER POC STATESD
EMPLOYER POC POSTAL CODE57701
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE16057559046
EMPLOYER POC EMAILcstark@monument.health
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMECarlson
AGENT ATTORNEY FIRST NAMEBeth
AGENT ATTORNEY MIDDLE NAMEE.
AGENT ATTORNEY ADDRESS190 S 7th St
AGENT ATTORNEY ADDRESS2STE 2200
AGENT ATTORNEY CITYMinneapolis
AGENT ATTORNEY STATEMN
AGENT ATTORNEY POSTAL CODE55402
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE16127667652
AGENT ATTORNEY EMAIL ADDRESSbeth.carlson@faegredrinker.com
LAWFIRM NAME BUSINESS NAMEFaegre Drinker Biddle & Reath LLP
STATE OF HIGHEST COURTMN
NAME OF HIGHEST STATE COURTMinnesota Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1353 Fairmont Boulevard
LCA CASE WORKLOC1 CITYRapid City
WORKSITE COUNTYPENNINGTON
LCA CASE WORKLOC1 STATESD
WORKSITE POSTAL CODE57701
LCA CASE WAGE RATE FROM398925
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE398925
PW UNIT OF PAYYear
PW OTHER SOURCESurvey
PW OTHER YEAR2021
PW SURVEY PUBLISHERMedical Group Management Association
PW SURVEY NAMEProvider Compensation Report
TOTAL WORKSITE LOCATIONS8
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business