| LCA CASE NUMBER | I-200-22146-213040 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-25 |
| DECISION DATE | 2022-06-02 |
| 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 | 2022-06-30 |
| END DATE | 2025-06-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | CENTRACARE CLINIC |
| EMPLOYER ADDRESS1 | 1200 SIXTH AVENUE NORTH |
| EMPLOYER CITY | ST. CLOUD |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56303-2736 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13202402155 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Brixius |
| EMPLOYER POC FIRST NAME | Sue |
| EMPLOYER POC JOB TITLE | Executive Assistant |
| EMPLOYER POC ADDRESS1 | 1406 6th Ave. N |
| EMPLOYER POC CITY | St. Cloud |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56303 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13206543606 |
| EMPLOYER POC EMAIL | BrixiusS@centracare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hoel |
| AGENT ATTORNEY FIRST NAME | Kayla |
| AGENT ATTORNEY ADDRESS1 | 200 South 6th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 4000 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402-1425 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927450 |
| AGENT ATTORNEY EMAIL ADDRESS | khoel@fredlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron, P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | CentraCare Health Long Prairie Clinic |
| WORKSITE ADDRESS2 | 50 Central Ave |
| LCA CASE WORKLOC1 CITY | Long Prairie |
| WORKSITE COUNTY | TODD |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56347 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
