All Details of Green Card Application:

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Case Number: A-20111-44885

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20111-44885

Case Status

Certified-Expired

Received Date

2020-04-27

Decision Date

2020-10-06

Refile

N

Original File Date

2021-01-01 08:44:48

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PIKEVILLE MEDICAL CENTER, INC.

Employer Name Slug

pikeville-medical-center-inc

Employer Address 1

911 BYPASS ROAD

Employer Address 2

Employer City

PIKEVILLE

Employer City Slug

pikeville

Employer State

KENTUCKY

Employer State Slug

kentucky

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

41501

Employer Phone

606-218-3500

Employer Number of Employees

2921

Employer Year Commenced Business

1924

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Betty C Adkins

Employer Contact Address 1

911 Bypass Road

Employer Contact Address 2

Employer Contact City

Pikeville

Employer Contact State/Province

KENTUCKY

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

41501

Employer Contact Phone

606-218-3500 3503

Employer Contact Email

betty.adkins@pikevillehospital.org

Agent Attorney Name

Rachael D Watts

Agent Attorney Firm Name

Pikeville Medical Center, Inc.

Agent Attorney Phone

6062186562

Agent Attorney Address 1

911 Bypass Road

Agent Attorney Address 2

Agent Attorney City

Pikeville

Agent Attorney State/Province

KENTUCKY

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

41501

Agent Attorney Email

rachael.watts@pikevillehospital.org

PW Track Number

P10019288087355

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

176904.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-02-18

PW Expiration Date

2020-06-30

Wage Offer From

275000.00

Wage Offer To

0.00

Average Salary

275000.00

Wage Unit of Pay

Year

Worksite Address 1

911 Bypass Road

Worksite Address 2

Worksite City

Pikeville

Worksite City Slug

pikeville

Worksite State

KENTUCKY

Worksite Postal Code

41501

Job Title

Hospitalist

Job Title Slug

hospitalist

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

As of the start date, must have a Kentucky medical license and be board eligible or board certified in either internal medicine or family medicine. Notwithstanding the language in Section H.5 above, the employer will accept board eligibility or board certification in either internal medicine or family medicine as of the start date as evidence of completion of the training requirement.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2020-02-13

SWA Job Order End Date

2020-03-16

Sunday Edition Newspaper

Y

First Newspaper Name

HeraldLeader

First Advertisement Start Date

2020-02-16

Second Newspaper Ad Name

HeraldLeader

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-02-23

Employer Website From Date

2020-02-13

Employer Website To Date

2020-03-02

Professional Organization Ad From Date

2021-01-01 08:44:48

Professional Organization Advertisement To Date

2021-01-01 08:44:48

Job Search Website From Date

2020-02-13

Job Search Website To Date

2020-03-02

Employee Referral Program From Date

2021-01-01 08:44:48

Employee Referral Program To Date

2021-01-01 08:44:48

Local Ethnic Paper From Date

2020-02-20

Local Ethnic Paper To Date

2020-02-27

Radio/TV Ad From Date

2021-01-01 08:44:48

Radio/TV Ad To Date

2021-01-01 08:44:48

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

NIGERIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

1987

Foreign Worker Institution of Education

UNIVERSITY OF IBADAN

Foreign Worker Education Institution Address 1

QUEEN ELIZABETH II ROAD, AGODI

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

IBADAN

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

NIGERIA

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Rachael D Watts

Preparer Title

Associate General Counsel

Preparer Email

rachael.watts@pikevillehospital.org

Employer Information Declaration Name

William D Blackburn

Employer Information Declaration Title

Chief Executive Officer