| LCA CASE NUMBER | I-200-21356-782964 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-22 |
| DECISION DATE | 2021-12-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-13 |
| END DATE | 2025-01-12 |
| 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 | North Country Hospital |
| EMPLOYER ADDRESS1 | 189 Prouty Drive |
| EMPLOYER CITY | Newport |
| EMPLOYER STATE | VT |
| EMPLOYER POSTAL CODE | 05855 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18023343219 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Giordano |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | VP Human Resources |
| EMPLOYER POC ADDRESS1 | 189 Prouty Drive |
| EMPLOYER POC CITY | Newport |
| EMPLOYER POC STATE | VT |
| EMPLOYER POC POSTAL CODE | 05855 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18023343219 |
| EMPLOYER POC EMAIL | pgiordano@nchsi.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Winer |
| AGENT ATTORNEY FIRST NAME | Steven |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 45 S. Main Street, PO Box 3550 |
| AGENT ATTORNEY CITY | Concord |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03302-3550 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16032239152 |
| AGENT ATTORNEY EMAIL ADDRESS | rvermette@orr-reno.com |
| LAWFIRM NAME BUSINESS NAME | Orr & Reno P.A. |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Primary Care - Newport |
| WORKSITE ADDRESS2 | 186 Medical Village Drive |
| LCA CASE WORKLOC1 CITY | Newport |
| WORKSITE COUNTY | NEWPORT |
| LCA CASE WORKLOC1 STATE | VT |
| WORKSITE POSTAL CODE | 05855 |
| LCA CASE WAGE RATE FROM | 254665 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 157955 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Vermette |
| PREPARER FIRST NAME | Robin |
| PREPARER MIDDLE INITIAL | L.H |
| PREPARER BUSINESS NAME | Orr & Reno P.A. |
| PREPARER EMAIL | rvermette@orr-reno.com |
