| LCA CASE NUMBER | I-200-24204-213996 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-07-22 |
| DECISION DATE | 2024-07-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-07-29 |
| END DATE | 2027-07-28 |
| 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 | Cibola General Hospital Corporation |
| EMPLOYER ADDRESS1 | 1016 E. Roosevelt Avenue |
| EMPLOYER CITY | Grants |
| EMPLOYER STATE | NM |
| EMPLOYER POSTAL CODE | 87020 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15052875300 |
| EMPLOYER FEIN | 85-0141285 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Dulanto |
| EMPLOYER POC FIRST NAME | Leyla |
| EMPLOYER POC MIDDLE NAME | Zoe |
| EMPLOYER POC JOB TITLE | VP of Administrative Services & HR |
| EMPLOYER POC ADDRESS1 | 1016 E. Roosevelt Avenue |
| EMPLOYER POC CITY | Grants |
| EMPLOYER POC STATE | NM |
| EMPLOYER POC POSTAL CODE | 87020 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15052875304 |
| EMPLOYER POC EMAIL | leyla_dulanto@cibolahospital.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Martinez |
| AGENT ATTORNEY FIRST NAME | George |
| AGENT ATTORNEY MIDDLE NAME | Humberto |
| AGENT ATTORNEY ADDRESS1 | 65 East State Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1550 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16142554872 |
| AGENT ATTORNEY EMAIL ADDRESS | GMartinez@Shihab.Law |
| LAWFIRM NAME BUSINESS NAME | The Law Firm of Shihab & Associates Co LPA |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | The Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1423 E. Roosevelt Avenue |
| LCA CASE WORKLOC1 CITY | Grants |
| WORKSITE COUNTY | CIBOLA |
| LCA CASE WORKLOC1 STATE | NM |
| WORKSITE POSTAL CODE | 87020 |
| LCA CASE WAGE RATE FROM | 290000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 251971 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |