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Nutrition Services

Nutrition Services

Tri Valley Health System offers individual nutrition counseling and group nutrition activities for adults and kids with a Registered Dietitian through Tri Valley Healthy Living Center. Programs are designed to complement each client's own life whether they are looking for weight management, weight loss (for health or fitness) or nutritional management for the prevention/management of cardiovascular disease and diabetes. Insurance coverage benefits are available to clients who are being seen by a health care provider for the treatment of a specific medical condition.

Tonya Koeppen, RD, LMNT

We believe you are an individual and need to be treated as an individual. As an individual, you have unique home and work situations, as well as unique food preferences, and unique problems that have contributed to your weight gain. No one medicine, or medicine combination, or diet plan will work for everyone.

Our Registered Dietitian provides individual and group health and wellness activities that compliment each client’s own life whether they are looking for weight loss or nutritional management for high cholesterol, high blood pressure, or diabetes. We also work with clients who have special dietary considerations such as Celiac Disease, food allergies, G.I. issues and more.

Diabetic Management

Tri Valley Health System provides a multi-part course that is offered at various times to accommodate your individual schedule. Family members are welcome to attend with you, at no additional cost. We also offer individual instruction as needed. The charge for this program will be billed to your medial insurance. If you have been diagnosed with diabetes Medicare will cover the cost of the education, as will many other insurance carriers.

Tri Valley’s Accredited Diabetes Program offers the education you need to take control of your Diabetes including:

  • Meter Starts
  • Insulin Starts
  • Meal Planning
  • Carbohydrate Counting
  • Intensive Diabetes Management

For more information call 308-697-1153 or email

*The American Diabetic Association recognizes this education service as meeting the Nation Standards for Diabetic Self-Management Education.


TVHS Current News

Tri Valley Health System Trustees Earn Education Certification

Randy Heitmann, Patrick Horwart, Kristy Witte, Clark Andrews, Reginald Warner and Cathy Kubik, trustees from Tri Valley Health System in Cambridge, have dedicated the time and effort to governance practices to earn NHA member hospital trustee education certification.
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Tri Valley Medical Foundation Hires New Director

Tri Valley Medical Foundation is pleased to announce the hiring of Jamie Mickelsen as Foundation Director. Mickelsen relocated to Cambridge in April and assumed her role May 10, 2018.
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TVHS Rehab 5-year Anniversary Celebration

The public is invited to join the TVHS Rehab team for a 5-year anniversary celebration on May 23 from 4:30 to 7 p.m. at Tri Valley Health System’s east parking lot in Cambridge.
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Tri Valley Health System Earns Nuclear Cardiology Reaccreditation by IAC

Tri Valley Health System was recently granted an additional three-year term of accreditation by the Intersocietal Accreditation Commission (IAC) in Nuclear Cardiology. This latest accreditation awarded to Tri Valley Health System demonstrates the facility’s ongoing commitment to providing quality patient care in nuclear cardiology.
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Community Members Invited to Open House at Tri Valley Health System’s Senior Life Solutions Program

Community members are invited to join the Senior Life Solutions Program at Tri Valley Health System for an open house on May 22 from 2:30 to 4:30 p.m. in the Senior Life Solutions group room.
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305 Nebraska Avenue
Arapahoe, NE 68922

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1305 Highway 6 & 34
Cambridge, NE 69022

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119 South 4th Street
Indianola, NE 69034

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